Individual provider Active NPI

Kathryn Rose Grandizio, RPH

  • Pharmacist
  • Danville, PA
National Provider Identifier
1356441430
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP043885L Issued in PA
Practice address
439 Mill St
Danville, PA 17821-1063
Phone
(570) 284-4667
Fax
(570) 284-4670
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP043885L PA Primary

Addresses

Primary practice location

439 Mill St
Danville, PA 17821-1063

Mailing address

439 Mill St
Danville, PA 17821-1063
Phone (570) 284-4667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP043885LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Pharmacy LLC CurrentSince May 28, 2023 Accepting new patients

Locations

439 Mill St
Danville, PA 17821
Phone (570) 284-4667

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1356441430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MILL ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211063",
            "telephone_number": "570-284-4667",
            "fax_number": "570-284-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MILL ST",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178211063",
            "telephone_number": "570-284-4667",
            "fax_number": "570-284-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDIZIO",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP043885L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.