Organization 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
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481710 Issued in PA
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFEWAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3988168OtherOTHER ID NUMBER-COMMERCIAL NUMBER
1007518700027MedicaidPA

Other names 1

  • GENUARDIS PHARMACY #1007 Doing business as

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.

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.

Verify at the official NPI Registry.