Healthcare Provider Details

I. General information

NPI: 1245159862
Provider Name (Legal Business Name): CAITLIN REARDON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

261 PINKERTON RD
WEXFORD PA
15090-8655
US

V. Phone/Fax

Practice location:
  • Phone: 412-302-1106
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835E0208X
TaxonomyEmergency Medicine Pharmacist
License NumberRP452084
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: