Susan L Grancey

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413612L Issued in PA

Legal business name

SUSAN L GRANCEY

Practice address

304 N 3Rd St
Clearfield, PA 16830-2527

Phone

(814) 765-5371

Fax

(814) 762-8755

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Susan Grancey, RPHNPI 1588661201

Title

Owner

Phone

(814) 765-5372

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MEDICINE SHOPPE 0082 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan L Grancey, RPH

  • Pharmacist
  • Clearfield, PA
  • NPI 1588661201
  NPD (past) Authorized official

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1124124896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N 3RD ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302527",
            "telephone_number": "814-765-5371",
            "fax_number": "814-762-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N 3RD ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168302527",
            "telephone_number": "814-765-5371",
            "fax_number": "814-762-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN L GRANCEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "GRANCEY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-765-5372",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413612L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2082296",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015033180001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICINE SHOPPE 0082",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Clearfield, PA
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.