Gerrity's Supermarket, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP482203 Issued in PA

Legal business name

GERRITY'S SUPERMARKET, INC.

Doing business as

Gerritys Pharmacy Keyser

Practice address

1782 N Keyser Ave
Scranton, PA 18508-1248

Phone

(570) 207-4308

Fax

(570) 207-9853

NPI assigned

Nov 1, 2011

Last updated

Nov 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Fasula

Title

Vice President

Phone

(570) 342-4144

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Gerritys Pharmacy Keyser Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Gerritys Supermarket Inc

  dba Gerritys Pharmacy Hanover

  • Community/Retail Pharmacy
  • Hanover Township, PA
  • NPI 1528079191

  O20210518002172

  Same enrollment

Tax ID family

Gerrity's Supermarket Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gerritys Supermarket Inc

  dba Gerritys Pharmacy Hanover

  • Community/Retail Pharmacy
  • Hanover Township, PA
  • NPI 1528079191
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa Dukes, PHARM D

  • Pharmacist
  • Hanover TWP, PA
  • NPI 1689436503
  NPD
• Mary Gibbons

  • Pharmacist
  • Covington Township, PA
  • NPI 1023549300
  NPD
• Joyce Fasula

  • Pharmacist
  • Hanover Township, PA
  • NPI 1043760663
  NPD (past)

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1154607497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1782 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081248",
            "telephone_number": "570-207-4308",
            "fax_number": "570-207-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1782 N KEYSER AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081248",
            "telephone_number": "570-207-4308",
            "fax_number": "570-207-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERRITY'S SUPERMARKET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "FASULA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-342-4144"
    },
    "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": "PP482203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016870200002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132533",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerritys Pharmacy Keyser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pierre Paul Germain, DDS
• Melissa M Germano-Ryczak, RD, LDN
• Theresa Germano
• Joseph Germick, M.S.
• Kathryn Gerrity, PA-C
• Albena Gesheva, MD
• Robert Cosmo Gesumaria, D.O.
• Roger T Getts, DO
• Alexandra Nathania Geyfman
• Vitaly Geyfman, D.O.

• Community/Retail Pharmacy in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.