Healthcare Provider Details

I. General information

NPI: 1033522156
Provider Name (Legal Business Name): ADAM JAMES MCMONAGLE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2014
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 GRANT ST FL 12
PITTSBURGH PA
15219-2706
US

IV. Provider business mailing address

600 GRANT ST FL 12
PITTSBURGH PA
15219-2706
US

V. Phone/Fax

Practice location:
  • Phone: 412-402-0526
  • Fax: 412-454-5295
Mailing address:
  • Phone: 412-402-0526
  • Fax: 412-454-5295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberRP446859
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: