Provider Demographics
NPI:1972770220
Name:SCHACHTE, JILL ANN (RPH)
Entity type:Individual
Prefix:MRS
First Name:JILL
Middle Name:ANN
Last Name:SCHACHTE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:ANN
Other - Last Name:WARYANKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:105 MALL BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2230
Mailing Address - Country:US
Mailing Address - Phone:412-825-8142
Mailing Address - Fax:412-717-9014
Practice Address - Street 1:105 MALL BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2230
Practice Address - Country:US
Practice Address - Phone:412-825-8142
Practice Address - Fax:412-717-9014
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-14
Last Update Date:2010-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP039262L183500000X
KY013597183500000X
LA018160183500000X
ARPD10507183500000X
TN29217183500000X
NE12639183500000X
AZS026901183500000X
ORRPH0011530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist