1003998725 NPI number — CURTIS PHARMACEUTICAL SERVICES INC

Table of content: (NPI 1003998725)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003998725 NPI number — CURTIS PHARMACEUTICAL SERVICES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CURTIS PHARMACEUTICAL SERVICES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CURTIS LTC PHARMACY - SEWICKLEY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003998725
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/10/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 W CHESTNUT ST
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15301-4631
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-223-7710
Provider Business Mailing Address Fax Number:
724-223-7712

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 MASONIC DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEWICKLEY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15143-2328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-741-5106
Provider Business Practice Location Address Fax Number:
412-741-5107
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SEIGEL
Authorized Official First Name:
JOANN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-741-5106

Provider Taxonomy Codes

  • Taxonomy code: 3336L0003X , with the licence number:  PP481247 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0018214930002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2086607 . This is a "PK" identifier . This identifiers is of the category "OTHER".




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