Organization Active NPI

Low Pharm Inc.

  • Community/Retail Pharmacy
  • Mt Washington, PA
National Provider Identifier
1821497611
Registry record updated Oct 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413912L Issued in PA
Legal business name
LOW PHARM INC.
Practice address
20 Bailey Ave
Mt Washington, PA 15211-1728
Phone
(412) 481-2400
Fax
(412) 481-9310
NPI assigned
Aug 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jamie WyelsNPI 1518047422
Title
Owner/President
Phone
(412) 481-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP413912L PA Primary

Addresses

Primary practice location

20 Bailey Ave
Mt Washington, PA 15211-1728

Mailing address

20 Bailey Ave
Mt Washington, PA 15211-1728
Phone (412) 481-2400

Other identifiers 2

IdentifierTypeStateIssuer
1029833630001MedicaidPA
2147704OtherPK

Other names 1

  • The Medicine Shoppe Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150917002378 PA Part B Supplier - Mass Immunization (Roster Biller Only) 7810204245 Practice locations: Pittsburgh, PA
O20160105001019 PA DME Supplier - Pharmacy 7810204245 Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Tax ID family
Low Pharm Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Bailey Ave
Pittsburgh, PA 15211
Phone (412) 381-4200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1821497611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 BAILEY AVE",
            "city": "MT WASHINGTON",
            "state": "PA",
            "postal_code": "152111728",
            "telephone_number": "412-481-2400",
            "fax_number": "412-481-9310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BAILEY AVE",
            "city": "MT WASHINGTON",
            "state": "PA",
            "postal_code": "152111728",
            "telephone_number": "412-481-2400",
            "fax_number": "412-481-9310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW PHARM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-18",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "WYELS",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "412-481-2400"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413912L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029833630001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2147704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.