Individual provider Active NPI

Lea Jean Grondziowski, PHARMACIST

  • Ambulatory Care Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1013526649
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care PharmacistTaxonomy code 1835P2201X
License
RP035276L Issued in PA
Practice address
1580 McLaughlin Run Rd Ste 212
Suite 212
Pittsburgh, PA 15241
Phone
(412) 319-7215
Fax
(412) 319-7041
NPI assigned
Jul 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X RP035276L PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Rd Ste 212
Suite 212
Pittsburgh, PA 15241

Mailing address

1580 McLaughlin Run Rd Ste 212
Pittsburgh, PA 15241-3100
Phone (412) 319-7215

Other identifiers 2

IdentifierTypeStateIssuer
RP035276LOtherPAPA PHARMACY LICENSE
RP035276LOtherPASTATE LICENSE

Other names 1

  • Lea Jean Defelice Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RP035276LPAMDAmbulatory Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1013526649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD STE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-319-7215",
            "fax_number": "412-319-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD STE 212",
            "address_2": "SUITE 212",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-319-7215",
            "fax_number": "412-319-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRONDZIOWSKI",
        "first_name": "LEA",
        "middle_name": "JEAN",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RP035276L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA PHARMACY LICENSE",
            "identifier": "RP035276L",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP035276L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEA",
            "last_name": "DEFELICE",
            "middle_name": "JEAN",
            "credential": "PHARMACIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.