Organization Active NPI

Livingston Pharmacy Inc.

  • Pharmacy
  • Clairton, PA
National Provider Identifier
1861589509
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411398L Issued in PA
Legal business name
LIVINGSTON PHARMACY INC.
Practice address
550 Miller Ave
Clairton, PA 15025-1744
Phone
(412) 233-7100
Fax
(412) 233-3032
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Mr. Matthew S Livingston, PHARMD
Title
Vice President
Phone
(412) 233-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411398L PA Primary

Addresses

Primary practice location

550 Miller Ave
Clairton, PA 15025-1744

Mailing address

550 Miller Ave
Clairton, PA 15025-1744
Phone (412) 233-7100

Other identifiers 1

IdentifierTypeStateIssuer
0005594440002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425001888 PA Part B Supplier - Mass Immunization (Roster Biller Only) 3274897384 Practice locations: Clairton, PA

National Provider Directory

National Provider Directory
Tax ID family
Livingston Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

550 Miller Ave
Clairton, PA 15025
Phone (412) 233-7100

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1861589509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 MILLER AVE",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150251744",
            "telephone_number": "412-233-7100",
            "fax_number": "412-233-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MILLER AVE",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150251744",
            "telephone_number": "412-233-7100",
            "fax_number": "412-233-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "412-233-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411398L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005594440002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clairton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.