Provider Demographics
NPI:1821137639
Name:UPMC PRESBYTERIAN SHADYSIDE
Entity Type:Organization
Organization Name:UPMC PRESBYTERIAN SHADYSIDE
Other - Org Name:UPMC PRESBYSTERIAN SHADYSIDE CAMPUS PHRM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIR OF PHRM
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:PSCHIRER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-623-6291
Mailing Address - Street 1:5230 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1304
Mailing Address - Country:US
Mailing Address - Phone:412-623-6399
Mailing Address - Fax:412-623-6548
Practice Address - Street 1:5230 CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1304
Practice Address - Country:US
Practice Address - Phone:412-623-6399
Practice Address - Fax:412-623-6548
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAHP418191L3336I0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2081765OtherPK