Active NPI
PPG Script Inc
- Durable Medical Equipment & Medical Supplies
- Grove City, PA
National Provider Identifier
1104940808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- PP410989L
- Legal business name
- PPG SCRIPT INC
- Practice address
- 111 Mill St
Grove City, PA 16127-1531 - Phone
- (724) 458-8420
- Fax
- (724) 458-4216
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Robert Grisnik, R PH
- Title
- Pharmacist Owner President
- Phone
- (724) 458-8420
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP410989L | PA | Primary |
Addresses
Primary practice location
111 Mill St
Grove City, PA 16127-1531
Mailing address
111 Mill St
Grove City, PA 16127-1531
Phone (724) 458-8420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012208220001 | Medicaid | PA |
Other names 1
- RX XPRESS
National Provider Directory
National Provider Directory- Tax ID family
- PPG Script Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Grove City, PA
- NPI 1679081467
Locations
111 Mill St
Grove City, PA 16127
Phone (724) 458-8420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104940808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MILL ST",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161271531",
"telephone_number": "724-458-8420",
"fax_number": "724-458-4216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MILL ST",
"city": "GROVE CITY",
"state": "PA",
"postal_code": "161271531",
"telephone_number": "724-458-8420",
"fax_number": "724-458-4216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PPG SCRIPT INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GRISNIK",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PHARMACIST OWNER PRESIDENT",
"authorized_official_telephone_number": "724-458-8420",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "R PH"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP410989L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012208220001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "RX XPRESS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grove City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.