Healthcare Provider Details

I. General information

NPI: 1710860143
Provider Name (Legal Business Name): ROBERT JOHN ENDERS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4007 WASHINGTON RD
MC MURRAY PA
15317-2510
US

IV. Provider business mailing address

118 DANA DR
EIGHTY FOUR PA
15330-2720
US

V. Phone/Fax

Practice location:
  • Phone: 724-941-0788
  • Fax:
Mailing address:
  • Phone: 724-263-4427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP459480
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: