Organization Active NPI

A Greco 1 Inc

  • Community/Retail Pharmacy
  • Pittston, PA
National Provider Identifier
1285649830
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP481039 Issued in PA
Legal business name
A GRECO 1 INC
Practice address
201 S Main St
Pittston, PA 18640-1621
Phone
(570) 655-4007
Fax
(570) 602-9191
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Angelo Greco
Title
Pres
Phone
(570) 655-4007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP481039 PA Primary

Addresses

Primary practice location

201 S Main St
Pittston, PA 18640-1621

Mailing address

201 S Main St
Pittston, PA 18640-1621

Other identifiers 3

IdentifierTypeStateIssuer
0018810160001MedicaidPA
3979157OtherOTHER ID NUMBER-COMMERCIAL NUMBER
3979157OtherPANCPDP #

Other names 1

  • Medicap Pharmacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1285649830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S MAIN ST",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401621",
            "telephone_number": "570-655-4007",
            "fax_number": "570-602-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A GRECO 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "GRECO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "570-655-4007"
    },
    "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": "PP481039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018810160001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3979157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3979157",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicap Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.