Individual provider Active NPI

Kendra L Josephic, R.PH.

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1851402408
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP438454 Issued in PA
Practice address
12238 Frankstown Rd
Pittsburgh, PA 15235-3404
Phone
(412) 798-9800
Fax
(412) 798-4572
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP438454 PA Primary

Addresses

Primary practice location

12238 Frankstown Rd
Pittsburgh, PA 15235-3404

Mailing address

577 Shumaker Dr
Monroeville, PA 15146-1081
Phone (412) 372-5051

Other identifiers 1

IdentifierTypeStateIssuer
RP438454OtherPASTATE PHARMACY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP438454PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851402408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 SHUMAKER DR",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151461081",
            "telephone_number": "412-372-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12238 FRANKSTOWN RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152353404",
            "telephone_number": "412-798-9800",
            "fax_number": "412-798-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHIC",
        "first_name": "KENDRA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACY LICENSE",
            "identifier": "RP438454",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.