Healthcare Provider Details

I. General information

NPI: 1891699146
Provider Name (Legal Business Name): KIERAN ZIEGENFUS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 TERRACE ST
PITTSBURGH PA
15213-2523
US

IV. Provider business mailing address

580 SPANG AVE
LEECHBURG PA
15656-1024
US

V. Phone/Fax

Practice location:
  • Phone: 412-624-5240
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPI127215
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: