Active NPI
Genuardi's Family Markets LP (GFM)
Doing business as Genuardis Pharmacy #1007
- Community/Retail Pharmacy
- King of Prussia, PA
National Provider Identifier
1265659361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481710
- Legal business name
- GENUARDI'S FAMILY MARKETS LP (GFM)
- Doing business as
- Genuardis Pharmacy #1007
- Practice address
- 310 S Henderson Rd
King of Prussia, PA 19406-2408 - Phone
- (610) 209-1031
- Fax
- (610) 290-1018
- NPI assigned
- Apr 19, 2007
- Last updated
- Aug 6, 2010
- Organization subpart
- Yes
- Parent organization
- SAFEWAY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Rivers, CPHT
- Title
- Mang Care Plan Spec
- Phone
- (623) 869-3524
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | PP481710 | PA | Primary |
Addresses
Primary practice location
310 S Henderson Rd
King of Prussia, PA 19406-2408
Mailing address
20427 N 27TH Ave # Ms 4551
Phoenix, AZ 85027-3241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3988168 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 1007518700027 | Medicaid | PA |
Other names 1
- GENUARDIS PHARMACY #1007
National Provider Directory
National Provider Directory- Part of
- Safeway Pharmacy 1234
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Safeway Pharmacy #1645
- Community/Retail Pharmacy
- Lakewood, WA
- NPI 1942239967
Member Of
Locations
310 S Henderson Rd
King of Prussia, PA 19406
Phone (610) 209-1031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281052800000",
"number": "1265659361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20427 N 27TH AVE # MS 4551",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S HENDERSON RD",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062408",
"telephone_number": "610-209-1031",
"fax_number": "610-290-1018"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENUARDI'S FAMILY MARKETS LP (GFM)",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAFEWAY INC",
"enumeration_date": "2007-04-19",
"last_updated": "2010-08-06",
"status": "A",
"authorized_official_last_name": "RIVERS",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "MANG CARE PLAN SPEC",
"authorized_official_telephone_number": "623-869-3524",
"authorized_official_credential": "CPHT"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "PA",
"license": "PP481710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3988168",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007518700027",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENUARDIS PHARMACY #1007",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in King of Prussia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.