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WALTMIRE PHARMACY
NPI 1386041655
Pharmacy - Community/Retail Pharmacy in Pittsburgh, PA

Active since December 02, 2014CLIA 39D2277522 · Waiver
1435 SPRING GARDEN AVE, PITTSBURGH, PA 15212(412) 323-1801(412) 323-1687 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waltmire Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTMIRE PHARMACY (NPI 1386041655) is a healthcare organization registered as a community/retail pharmacy in Pittsburgh, Pennsylvania and active in the NPI registry since December 2014. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Fred Depasquale, Depasquale, as its authorized official.

NPPES Registry Identity

NPI1386041655
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMOMBA PHARMACY SERVICES LLC
Location Address1435 SPRING GARDEN AVEPittsburgh, PA 15212-3711
Mailing Address1435 Spring Garden AvePittsburgh, PA 15212-3711 · (412) 323-1801 · Fax (412) 323-1687
Phone(412) 323-1801
Fax(412) 323-1687
Organization SubpartNo
Authorized OfficialFred DepasqualeDepasquale · (412) 559-5082
Enumeration DateDecember 2, 2014
Last NPPES UpdateJuly 20, 2015
✔ NPI 1386041655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in PA · PP411539L
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1435 SPRING GARDEN AVE, Pittsburgh, PA 15212
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Other Names 1

Doing Business AsWaltmire Pharmacy

Other Identifiers 2

Other2149578Pk
Medicaid102673880PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2277522

Momba Pharmacy Services LLC · Pittsburgh, PA
Active · expires Feb 28, 2027
CLIA Number39D2277522
Laboratory TypePharmacy
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorFred Depasquale
Laboratory Phone(412) 323-1801
Laboratory LocationMomba Pharmacy Services LLC1435 Spring Garden Ave, Pittsburgh, PA 15212
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
39 services39 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
37 services37 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALTMIRE PHARMACY LLC
Pharmacist
1435 SPRING GARDEN AVE
PITTSBURGH, PA 15212
Allegheny County (412) 323-1801
MOMBA PHARMACY SERVICES LLC
Pharmacy (Long Term Care Pharmacy)
1435 SPRING GARDEN AVE
PITTSBURGH, PA 15212
Allegheny County (412) 323-1801

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Momba Pharmacy Services LLC's NPI number?

The NPI number for Momba Pharmacy Services LLC is 1386041655. It was assigned to this organization in the NPPES registry on December 2, 2014. The provider is doing business as Waltmire Pharmacy.

Where is Momba Pharmacy Services LLC located?

Momba Pharmacy Services LLC is located at 1435 Spring Garden Ave, Pittsburgh, PA 15212. The listed phone number is (412) 323-1801.

What is Momba Pharmacy Services LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Momba Pharmacy Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2277522) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Momba Pharmacy Services LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Momba Pharmacy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Momba Pharmacy Services LLC was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.