UPMC PRESBYTERIAN SHADYSIDE (NPI# 1194225318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194225318 |
| Entity Type | Organization |
| Organization Name | UPMC PRESBYTERIAN SHADYSIDE |
| Other Organization Name | UPMC RX EXPRESS |
| Practice Address |
3507 Victoria St. Room 105 Pittsburgh PA 15213 |
| Mailing Address |
200 Lothrop St Upmc Pharmacy Administration Mailcode: Pfg-01-01-01 Pittsburgh PA 15213-2536 |
| Practice Telephone | 4126474361 |
| Practice Fax Number | 4126475847 |
| Mailing Telephone | 4126474361 |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-06-07 |
| Authorized Official Name | ROBIN GUTER (PRODUCT MANAGER/PHARMACY MANAGER) |
| Authorized Official Telephone | 4128640817 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
2432316 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2176018 | 01 |
| Other Name | Type Code |
|---|---|
| UPMC Rx Express | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477883429 | Upmc Presbyterian Shadyside | Clinic/Center | 818 Braddock Ave, Braddock, PA 15104-1715 | 2010-01-13 |
| 1023666419 | Upmc Presbyterian Shadyside | Pharmacy | 200 Lothrop Street, F186 Inpatient Pharmacy (c/o Alfred L'altrelli), Pittsburgh, PA 15213 | 2019-08-28 |
| 1841693173 | Upmc Presbyterian Shadyside | Pharmacy | 3811 Ohara St, Suite 1516, Pittsburgh, PA 15213-2561 | 2014-10-01 |
| 1790945830 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2008-06-12 |
| 1518089200 | Upmc Presbyterian Shadyside | Substance Abuse Rehabilitation Facility | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-04-04 |
| 1164544755 | Upmc Presbyterian Shadyside | Clinic/Center | 3811 Ohara St, Pittsburgh, PA 15213-2593 | 2007-04-04 |
| 1821137639 | Upmc Presbyterian Shadyside | Pharmacy | 5230 Centre Ave, Pittsburgh, PA 15232-1304 | 2007-02-06 |
| 1144384082 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-21 |
| 1053471656 | Upmc Presbyterian Shadyside | Clinic/Center | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-12 |
| 1962562561 | Upmc Presbyterian Shadyside | General Acute Care Hospital | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2006-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UPMC PRESBYTERIAN SHADYSIDE | 200 Lothrop St Ste N 739, Pittsburgh, PA 15213-2536 |
| New York State Corporations | UPMC PRESBYTERIAN SHADYSIDE | 80 State Street, Albany, New York 12207-2543 |
| North Carolina Corporations | UPMC Presbyterian Shadyside | 2 South Salisbury Street, Raleigh, NC 27601 |
| Street Address |
3507 VICTORIA ST. ROOM 105 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295755510 | University of Pittsburgh Office of The Conptroller | Pharmacy | 103 University Place, Pittsburgh, PA 15260 | 2006-07-20 |
| 1689732877 | Upmc Community Provider Services Inc | Pharmacy | 3501 Forbes Ave, Room 756, Pittsburgh, PA 15213-3317 | 2006-12-04 |
| 1912071416 | Primary Care Health Services Inc | Pharmacy | 7227 Hamilton Ave, Pittsburgh, PA 15208-1814 | 2006-11-17 |
| 1114944873 | Upmc Community Provider Services Inc | Pharmacy | 3601 5th Ave, Room 201, Pittsburgh, PA 15213-3403 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437788551 | The Milton S Hershey Medical Center | Pharmacy | 2221 Noll Dr Rm B136, Lancaster, PA 17603-7614 | 2020-04-02 |
| 1235697418 | Option Care Infusion Suites, LLC. | Pharmacy | 825 Town Center Dr Ste 146&150, Langhorne, PA 19047-1753 | 2019-03-07 |
| 1902170186 | The Milton S. Hershey Medical Center | Pharmacy | 500 University Dr Suite 1200, Hershey, PA 17033-2360 | 2012-03-06 |
| 1093092447 | Philly Metro Pharmacy LLC | Pharmacy | 25 E Walnut Ln, Philadelphia, PA 19144-2002 | 2011-11-14 |
| 1619195104 | Jfk Medical Center Pharmacy | Pharmacy | 3001 Walnut St Fl 4, Philadelphia, PA 19104-3414 | 2007-04-23 |
| 1326164138 | Penn State Uhs Pharmacy | Pharmacy | 202c Student Health Center, University Park, PA 16802-2129 | 2007-03-22 |
| 1356364210 | Pa University Hlth Svcs | Pharmacy | 130 Ritenour Building, University Park, PA 16802-7501 | 2006-07-25 |
| 1578175790 | Upmc East | Pharmacy | 2775 Mosside Blvd, Monroeville, PA 15146-2760 | 2020-08-19 |
| 1356800551 | Dwh Direct Rx LLC | Pharmacy | 524 W Broad St, Quakertown, PA 18951-1216 | 2019-03-18 |
| 1013475102 | Dwh Direct Rx LLC | Pharmacy | 1707-1709 W Hamilton Street, Allentown, PA 18036 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on UPMC PRESBYTERIAN SHADYSIDE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.