Individual provider Active NPI

Alexander John Prokopienko, PHARMD

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1952788879
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03334288-3 Issued in OH
Practice address
6217 Kentucky Ave
Apartment 2
Pittsburgh, PA 15206-4229
Phone
(315) 219-2393
NPI assigned
Apr 29, 2015
Last updated
Apr 29, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03334288-3 OH Primary

Addresses

Primary practice location

6217 Kentucky Ave
Apartment 2
Pittsburgh, PA 15206-4229

Mailing address

6217 Kentucky Ave
Apartment 2
Pittsburgh, PA 15206-4229
Phone (315) 219-2393

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
03334288-3OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1952788879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 KENTUCKY AVE",
            "address_2": "APARTMENT 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064229",
            "telephone_number": "315-219-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6217 KENTUCKY AVE",
            "address_2": "APARTMENT 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064229",
            "telephone_number": "315-219-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROKOPIENKO",
        "first_name": "ALEXANDER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03334288-3",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 29, 2015; 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.