Healthcare Provider Details

I. General information

NPI: 1568754679
Provider Name (Legal Business Name): BRANDON HERK PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2011
Last Update Date: 04/04/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4100 ALLEQUIPPA ST
PITTSBURGH PA
15240
US

IV. Provider business mailing address

4100 ALLEQUIPPA ST
PITTSBURGH PA
15240
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-3000
  • Fax:
Mailing address:
  • Phone: 412-822-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License NumberRP447804
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: