Healthcare Provider Details

I. General information

NPI: 1346368453
Provider Name (Legal Business Name): YAKIM'S COMPOUNDING PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 BROADWAY
PITCAIRN PA
15140-1447
US

IV. Provider business mailing address

PO BOX 173
PITCAIRN PA
15140-0173
US

V. Phone/Fax

Practice location:
  • Phone: 412-372-3700
  • Fax:
Mailing address:
  • Phone: 412-372-3700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP415490L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPP415490L
License Number StatePA

VIII. Authorized Official

Name: MR. JOHN G. YAKIM
Title or Position: PHARMACY MANAGER
Credential: RPH
Phone: 412-372-3700