Organization Active NPI

Pleasant Hills RX LLC

  • Community/Retail Pharmacy
  • Clairton, PA
National Provider Identifier
1891543690
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
PLEASANT HILLS RX LLC
Practice address
25 Gill Hall Rd Ste 2
Clairton, PA 15025-3004
Phone
(412) 653-7566
Fax
(412) 653-0755
NPI assigned
May 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Linette M. Evancic
Title
Sole Member
Phone
(412) 653-7566

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

25 Gill Hall Rd Ste 2
Clairton, PA 15025-3004

Mailing address

25 Gill Hall Rd Ste 2
Clairton, PA 15025-3004
Phone (412) 653-7566

Other names 1

  • Pleasant Hills Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240808002473 PA Part B Supplier - Pharmacy 3072050988 Practice locations: Clairton, PA

National Provider Directory

National Provider Directory
Tax ID family
Pleasant Hills RX LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1715126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1891543690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GILL HALL RD STE 2",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253004",
            "telephone_number": "412-653-7566",
            "fax_number": "412-653-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GILL HALL RD STE 2",
            "city": "CLAIRTON",
            "state": "PA",
            "postal_code": "150253004",
            "telephone_number": "412-653-7566",
            "fax_number": "412-653-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILLS RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "EVANCIC",
        "authorized_official_first_name": "LINETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "412-653-7566"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Hills Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 8, 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.