Active NPI
A Greco 1 Inc
- Community/Retail Pharmacy
- Pittston, PA
National Provider Identifier
1285649830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PP481039
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018810160001 | Medicaid | PA | |
| 3979157 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3979157 | Other | PA | NCPDP # |
Other names 1
- Medicap Pharmacy
National Provider Directory
National Provider DirectoryNPI 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.