Healthcare Provider Details

I. General information

NPI: 1053086769
Provider Name (Legal Business Name): UPMC COMMUNITY PROVIDER SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2021
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 WILMINGTON AVE
NEW CASTLE PA
16105-2516
US

IV. Provider business mailing address

1860 CENTRE AVE STE 5
PITTSBURGH PA
15219-4369
US

V. Phone/Fax

Practice location:
  • Phone: 724-656-4650
  • Fax: 855-683-0158
Mailing address:
  • Phone: 724-494-8346
  • Fax: 412-246-2037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

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