NPIMap

Organization Active NPI

T E P Inc

  • Long Term Care Pharmacy
  • New Brighton, PA
National Provider Identifier
1942764071
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
T E P INC
Practice address
525 5TH Ave
New Brighton, PA 15066-1737
Phone
(724) 847-7979
Fax
(724) 847-1774
NPI assigned
Jan 23, 2019
Organization subpart
Yes
Parent organization
T E P INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Authorized official

Name
Mr. Patrick Davis
Title
General Manager
Phone
(412) 889-2311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

525 5TH Ave
New Brighton, PA 15066-1737

Mailing address

525 5TH Ave
New Brighton, PA 15066-1737
Phone (724) 847-7979

Other identifiers 1

IdentifierTypeStateIssuer
0011588240002MedicaidPA

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930065418 PA DME Supplier - Pharmacy 0941329072 1 other NPI on this enrollment
Practice locations: New Brighton, PA
O20260624001754 PA Part B Supplier - Pharmacy 0941329072 Practice locations: New Brighton, PA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
T E P Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

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": "1548201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548201600000",
    "number": "1942764071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661737",
            "telephone_number": "724-847-7979",
            "fax_number": "724-847-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 5TH AVE",
            "city": "NEW BRIGHTON",
            "state": "PA",
            "postal_code": "150661737",
            "telephone_number": "724-847-7979",
            "fax_number": "724-847-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T E P INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T E P INC",
        "enumeration_date": "2019-01-23",
        "last_updated": "2019-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "412-889-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011588240002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; 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.