Perigon Pharmacy 360, LLC
Perigon Pharmacy 360, LLC is a healthcare organization registered as Specialty Pharmacy in Coraopolis, PA, holding Type 2 (organization) NPI 1669823266 since 2016. The authorized official on file is Genese Hendrickson, Chief Executive Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1669823266 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Perigon Pharmacy 360, LLC |
| Other name | <Unavail> |
| Practice address | 1120 STEVENSON MILL RD STE 200, Coraopolis, PA, 15108 |
| Phone | 4126842500 |
| Fax | 8445825332 |
| Enumeration date | 2016-06-24 |
| Last updated in NPPES | 2023-01-09 |
Authorized official
| Name | Genese Hendrickson |
|---|---|
| Title | Chief Executive Officer |
| Phone | 4126842500 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 3336S0011X | Specialty Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032363790001 | Medicaid | PA | — |
| 1669823266 | Medicaid | CO | — |
| 1689851 | Medicaid | AK | — |
| 7P2679 | Medicaid | SC | — |
| 564121700 | Medicaid | MD | — |
| 2111445 | Medicaid | WA | — |
| 2160783 | Other | — | PK |
| 656739 | Medicaid | NJ | — |
Copy-ready billing details
Provider: Perigon Pharmacy 360, LLC NPI: 1669823266 Taxonomy: 3336S0011X (Specialty Pharmacy) Address: 1120 STEVENSON MILL RD STE 200, Coraopolis, PA, 15108
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1043926264 | Anthony Dalesio | Individual | Pharmacist | Coraopolis, PA |
| 1417642513 | Perigon Pharmacy 360, LLC | Organization | Long Term Care Pharmacy | Coraopolis, PA |
Verify this record
Cross-check NPI 1669823266 against the authoritative CMS record: view Perigon Pharmacy 360, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Perigon Pharmacy 360, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-01-09.