Provider Demographics
NPI:1174889059
Name:SCHORK, ROBERT JOSEPH (BCNP)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:SCHORK
Suffix:
Gender:M
Credentials:BCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 MALLARD DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1144
Mailing Address - Country:US
Mailing Address - Phone:412-398-5462
Mailing Address - Fax:
Practice Address - Street 1:300 PENN CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-5511
Practice Address - Country:US
Practice Address - Phone:412-349-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-05
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP437347183500000X
OH03-1-24658183500000X
FLPS44921183500000X
FLNP4081835N0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835N0905XPharmacy Service ProvidersPharmacistNuclear