Healthcare Provider Details

I. General information

NPI: 1396188777
Provider Name (Legal Business Name): UPMC COMMUNITY PROVIDER SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 FIFTH AVE FLOOR 1 SHAW BUILDING
MCKEESPORT PA
15132-2422
US

IV. Provider business mailing address

1860 CENTRE AVE STE 5
PITTSBURGH PA
15219-4369
US

V. Phone/Fax

Practice location:
  • Phone: 412-664-3100
  • Fax:
Mailing address:
  • Phone: 724-494-8346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: ERIC BIELICH
Title or Position: DIRECTOR, FINANCE
Credential:
Phone: 412-864-2687