Active NPI
Jonathan Grubic, PHARMD
- Pharmacist
- Pittsburgh, PA
National Provider Identifier
1104250497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453319
- Practice address
- 1515 Locust St
Pittsburgh, PA 15219-5131 - Phone
- (412) 232-7672
- NPI assigned
- Aug 22, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S020088 | AZ | |
| Pharmacist | 183500000X | RP453319 | PA | Primary |
Addresses
Primary practice location
1515 Locust St
Pittsburgh, PA 15219-5131
Mailing address
1515 Locust St
Pittsburgh, PA 15219-5131
Phone (412) 232-7672
Other practice location 1
9470 E Golf Links Rd # 106
Tucson, AZ 85730-1365
Phone (520) 296-1315
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | UPMCMercyHealthCenterPharmacy@upmcdirect.com | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S020088 | AZ | MD | Pharmacist |
| RP453319 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- upmcmercyhealthcenterpharmacy@upmcdirect.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1104250497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 LOCUST ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195131",
"telephone_number": "412-232-7672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 LOCUST ST",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152195131",
"telephone_number": "412-232-7672"
}
],
"practiceLocations": [
{
"address_1": "9470 E Golf Links Rd # 106",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857301365",
"country_code": "US",
"telephone_number": "520-296-1315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRUBIC",
"first_name": "JONATHAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-22",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020088",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453319",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UPMCMercyHealthCenterPharmacy@upmcdirect.com",
"affiliation": "N",
"endpointDescription": "secure UPMC direct address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "600 Grant St Fl 58",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152192739",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.