Provider Demographics
NPI:1912728601
Name:RISER FOODS COMPANY
Entity type:Organization
Organization Name:RISER FOODS COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & EVP OF PHARMACY
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIPAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-963-6200
Mailing Address - Street 1:PO BOX 643559
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-3559
Mailing Address - Country:US
Mailing Address - Phone:412-963-6200
Mailing Address - Fax:
Practice Address - Street 1:2275 LOCUST ST S
Practice Address - Street 2:
Practice Address - City:CANAL FULTON
Practice Address - State:OH
Practice Address - Zip Code:44614-9387
Practice Address - Country:US
Practice Address - Phone:412-963-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy