1063427995 NPI number — THE TAMARKIN COMPANY

Table of content: (NPI 1063427995)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063427995 NPI number — THE TAMARKIN COMPANY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE TAMARKIN COMPANY
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:
6
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:
1063427995
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/24/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 643559
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15264-3559
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9125 RIDGE RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIRARD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16417-9645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-774-2467
Provider Business Practice Location Address Fax Number:
814-774-7216
Provider Enumeration Date:
07/29/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ZMARZLY
Authorized Official First Name:
KELLY
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
PHARMACY MANAGED CARE
Authorized Official Telephone Number:
412-968-1529

Provider Taxonomy Codes

  • Taxonomy code: 333600000X , with the licence number:  020379550 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007764670027 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3965007 . This is a "OTHER ID NUMBER-COMMERCIAL NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00419123 . This is a "MEDICARE RAILROAD FLU (TAMARKIN PA)" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".