Provider Demographics
NPI:1669536454
Name:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Entity type:Organization
Organization Name:UPMC CHILDREN'S HOSPITAL OF PITTSBURGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PHARMACY
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:GOFF
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MS
Authorized Official - Phone:412-692-6242
Mailing Address - Street 1:PO BOX 382007 GROUND FLOOR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-8007
Mailing Address - Country:US
Mailing Address - Phone:412-692-5352
Mailing Address - Fax:412-692-6566
Practice Address - Street 1:3705 5TH AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-692-5352
Practice Address - Fax:412-692-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP481305284300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes284300000XHospitalsSpecial Hospital