1023666419 NPI number — UPMC PRESBYTERIAN SHADYSIDE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023666419 NPI number — UPMC PRESBYTERIAN SHADYSIDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UPMC PRESBYTERIAN SHADYSIDE
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:
Provider Other Organization Name Type Code:
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:
1023666419
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 LOTHROP STREET
Provider Second Line Business Mailing Address:
F186 INPATIENT PHARMACY (C/O ALFRED L'ALTRELLI)
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15213
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-547-5929
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 LOTHROP STREET
Provider Second Line Business Practice Location Address:
F186 INPATIENT PHARMACY (C/O ALFRED L'ALTRELLI)
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-547-5929
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2019

Additional Information

Authorized Official

Authorized Official Last Name:
L'ALTRELLI
Authorized Official First Name:
ALFRED
Authorized Official Middle Name:
ADAM
Authorized Official Title or Position:
ADMINISTRATIVE DIRECTOR OF PHARMACY
Authorized Official Telephone Number:
412-647-5929

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HP418160L . This is a "STATE BOARD OF PHARMACY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com