Provider Demographics
NPI:1790450435
Name:RUPNIK, EMILY LYNN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:LYNN
Last Name:RUPNIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MASSEY RD # 578
Mailing Address - Street 2:
Mailing Address - City:MIDWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15060-1134
Mailing Address - Country:US
Mailing Address - Phone:724-255-4094
Mailing Address - Fax:
Practice Address - Street 1:2150 BROWNSVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15210-4273
Practice Address - Country:US
Practice Address - Phone:412-881-6439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP455937183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP455937OtherSTATE BOARD OF PHARMACY
PARPI015162OtherSTATE BOARD OF PHARMACY