Momba Pharmacy Services Llc
Community/Retail Pharmacy
1435 Spring Garden Ave, Pittsburgh
Pennsylvania, 15212-3711
412-323-1801 412-323-1687
Momba Pharmacy Services Llc is an authorized DME supplier for medicare equipments and products.
Momba Pharmacy Services Llc is a Community/Retail Pharmacy in Pittsburgh, Pennsylvania. It is located at 1435 Spring Garden Ave, Pittsburgh and it's customer support contact number is 412-323-1801. The authorized person of Momba Pharmacy Services Llc is Fred Depasquale who is Depasquale of the pharmacy and his contact number is 412-559-5082. Active license number of Momba Pharmacy Services Llc is PP411539L for Community/Retail Pharmacy in Pennsylvania. Momba Pharmacy Services Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Momba Pharmacy Services Llc is 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.
Pharmacy Details:
Momba Pharmacy Services Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Momba Pharmacy Services Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1435 Spring Garden Ave, Pittsburgh, Pennsylvania, 15212-3711 |
| Phone: | 412-323-1801 |
| Fax: | 412-323-1687 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Fred Depasquale |
| Position: | Depasquale |
| Contact Number: | 412-559-5082 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1386041655 |
| NPI Enumeration Date: | 02 Dec, 2014 |
| NPI Last Update On: | 20 Jul, 2015 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Momba Pharmacy Services Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PP411539L | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 102673880 | Medicaid | Pennsylvania | |
| 2149578 | Other | | Pk |
Medicare Enrollment:
Momba Pharmacy Services Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 9436468444 | O20151014000493 | Momba Pharmacy Services Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 9436468444 | O20151210000241 | Momba Pharmacy Services Llc | DME SUPPLIER - PHARMACY |
Products Available:
Momba Pharmacy Services Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Canes & Crutches |
| • Nebulizer Equipment & Supplies | • Ostomy Supplies |
| • Surgical Dressings | • Tracheostomy Supplies |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1435 Spring Garden Ave, Pittsburgh, Pennsylvania |
| Zip: | 15212-3711 |
| Phone Number: | 412-323-1801 |
| Fax Number: | 412-323-1687 |
Patients can reach Momba Pharmacy Services Llc at
1435 Spring Garden Ave, Pittsburgh, Pennsylvania or can
call on customer care at 412-323-1801.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.