Healthcare Provider Details

I. General information

NPI: 1619903028
Provider Name (Legal Business Name): ADZEMA PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8105 PERRY HWY
PITTSBURGH PA
15237-5203
US

IV. Provider business mailing address

8105 PERRY HWY
PITTSBURGH PA
15237-5203
US

V. Phone/Fax

Practice location:
  • Phone: 412-364-7000
  • Fax: 412-364-3278
Mailing address:
  • Phone: 412-364-7000
  • Fax: 412-364-3278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPP413073L
License Number StatePA

VIII. Authorized Official

Name: ROBERT JAY ADZEMA
Title or Position: OWNER
Credential:
Phone: 412-364-7000