Organization Active NPI

PPG Script Inc

Doing business as RX Xpress

  • Community/Retail Pharmacy
  • Grove City, PA
National Provider Identifier
1306877782
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP410989L Issued in PA
Legal business name
PPG SCRIPT INC
Doing business as
RX Xpress
Practice address
111 Mill St
Grove City, PA 16127-1514
Phone
(724) 458-8420
Fax
(724) 458-4216
NPI assigned
Jul 5, 2006
Last updated
Jan 29, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Authorized official

Name
Pamela Burns Grisnik, RPH
Title
Owner and Pharmacist
Phone
(724) 458-8420

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WD0400X
Medical Specialty Clinic/Center 261QM2500X
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PP410989L PA Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

111 Mill St
Grove City, PA 16127-1514

Mailing address

111 Mill St
Grove City, PA 16127-1514
Phone (724) 458-8420

Other identifiers 2

IdentifierTypeStateIssuer
2079872OtherPK
0012208220001MedicaidPA

Other names 1

  • RX XPRESS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930050426 PA DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 2961507280 Practice locations: Grove City, PA
O20171201002134 PA Part B Supplier - Pharmacy 2961507280 Practice locations: Grove City, PA

National Provider Directory

National Provider Directory

Locations

111 Mill St
Grove City, PA 16127
Phone (724) 458-8420

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548720000000",
    "number": "1306877782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MILL ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271514",
            "telephone_number": "724-458-8420",
            "fax_number": "724-458-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MILL ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271514",
            "telephone_number": "724-458-8420",
            "fax_number": "724-458-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPG SCRIPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-01-29",
        "status": "A",
        "authorized_official_last_name": "BURNS GRISNIK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER AND PHARMACIST",
        "authorized_official_telephone_number": "724-458-8420",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410989L",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079872",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012208220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RX XPRESS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RX XPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.