Healthcare Provider Details

I. General information

NPI: 1033166244
Provider Name (Legal Business Name): CHARTWELL PENNSYLVANIA, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 10/09/2024
Certification Date: 10/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 OAKDALE RD
OAKDALE PA
15071-1502
US

IV. Provider business mailing address

PO BOX 360552
PITTSBURGH PA
15251-6552
US

V. Phone/Fax

Practice location:
  • Phone: 412-920-7500
  • Fax: 412-515-8961
Mailing address:
  • Phone: 412-920-7500
  • Fax: 412-515-8961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN PATRICK
Title or Position: PRESIDENT
Credential:
Phone: 412-733-1910