=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093033540
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRIAN RICHARD BOSHINSKY PHARM. D
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2010
-----------------------------------------------------
Last Update Date | 08/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 581 PITTSBURGH RD
-----------------------------------------------------
City | UNIONTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15401-2242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-438-2570
-----------------------------------------------------
Fax | 724-437-7774
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 463 BLACKBERRY RIDGE DR
-----------------------------------------------------
City | MORGANTOWN
-----------------------------------------------------
State | WV
-----------------------------------------------------
Zip | 26508-4869
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 724-433-7558
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | RP442137
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------