Provider Demographics
NPI:1780454637
Name:LEVENTOPOULOS, JOHN PETER (PHARMD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PETER
Last Name:LEVENTOPOULOS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:YIANNI
Other - Middle Name:PETER
Other - Last Name:LEVENTOPOULOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:551 JANET DR
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-5905
Mailing Address - Country:US
Mailing Address - Phone:412-916-1770
Mailing Address - Fax:
Practice Address - Street 1:237 MONROEVILLE AVE
Practice Address - Street 2:
Practice Address - City:TURTLE CREEK
Practice Address - State:PA
Practice Address - Zip Code:15145-1739
Practice Address - Country:US
Practice Address - Phone:412-824-5137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP458235183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist