Gene a Riley & Thomas C Riley PTRS

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413537L Issued in PA

Legal business name

GENE A RILEY & THOMAS C RILEY PTRS

Doing business as

Lebanon Shops Pharmacy

Practice address

300 Mount Lebanon Blvd
Pittsburgh, PA 15234-1512

Phone

(412) 344-6700

Fax

(412) 344-5223

NPI assigned

Feb 2, 2006

Organization subpart

No

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

Authorized official

Name

Thomas C Riley, RPHNPI 1003412362

Title

Owner

Phone

(412) 344-6700

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LEBANON SHOPS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Tax ID family

Gene a Riley Thomas C Riley PTRS2 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.

• Gene a Riley & Thomas C Riley PTRS

  dba Lebanon Shops Pharmacy LTC

  • Long Term Care Pharmacy
  • Pittsburgh, PA
  • NPI 1548018393
  NPD tax ID

Locations

Practitioners 2

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

• Thomas Clark Riley, RPH

  • Pharmacist
  • Pittsburgh, PA
  • NPI 1003412362
  NPD Authorized official
• Kristine Diane Riley, PHARMD, RPH

  • Pharmacist
  • Pittsburgh, PA
  • NPI 1710693247
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1881666923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341512",
            "telephone_number": "412-344-6700",
            "fax_number": "412-344-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MOUNT LEBANON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152341512",
            "telephone_number": "412-344-6700",
            "fax_number": "412-344-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENE A RILEY & THOMAS C RILEY PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2024-05-11",
        "certification_date": "2021-01-17",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-344-6700",
        "authorized_official_credential": "RPH"
    },
    "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": "PP413537L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0918425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEBANON SHOPS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsey Gelles
• Theresa Anne Gelzinis, MD
• Leigh Anne Gemmell, PHD
• Shoshana Genack, RD
• Gene a Riley & Thomas C Riley PTRS (Lebanon Shops Pharmacy LTC)
• Gene W. Manzetti, M.D, P.C.
• General & Vascular Surgery Associates Inc.
• General Medical Practitioners and Specialists P.C.
• Nancy Generalovich, RN
• Thomas Generalovich

• Community/Retail Pharmacy in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.