Healthcare Provider Details

I. General information

NPI: 1881704138
Provider Name (Legal Business Name): STEPHANIE SCAVNICKY PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE C ( 132M-U) VA PITTSBURGH HEALTHCARE SYSTEM
PITTSBURGH PA
15240
US

IV. Provider business mailing address

1111 RICHARD RD
IRWIN PA
15642-1779
US

V. Phone/Fax

Practice location:
  • Phone: 412-688-6220
  • Fax:
Mailing address:
  • Phone: 412-751-3454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP040396R
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP040396R
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: