Active NPI
Genuardi'S Family Markets LP GFM
- Community/Retail Pharmacy
- North Wales, PA
National Provider Identifier
1366471328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- GENUARDI'S FAMILY MARKETS LP GFM
- Practice address
- 107 S Main St
North Wales, PA 19454-2832 - Phone
- (215) 699-7555
- Fax
- (215) 699-6792
- NPI assigned
- Jul 2, 2006
- Organization subpart
- Yes
- Parent organization
- SAFEWAY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Della Della
- Title
- Managed Care Plan Specialist
- Phone
- (623) 869-3602
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP412865 | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
107 S Main St
North Wales, PA 19454-2832
Mailing address
20427 N 27TH Ave
Mail Stop 4551
Phoenix, AZ 85027-3241
Phone (623) 869-3602
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3981037 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| 3981037 | Medicaid | PA |
Other names 1
- GENUARDI'S PHARMACY #2010
National Provider Directory
National Provider Directory- Part of
- Safeway Pharmacy 1073
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350864000000",
"number": "1366471328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20427 N 27TH AVE",
"address_2": "MAIL STOP 4551",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273241",
"telephone_number": "623-869-3602",
"fax_number": "623-869-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S MAIN ST",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542832",
"telephone_number": "215-699-7555",
"fax_number": "215-699-6792"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENUARDI'S FAMILY MARKETS LP GFM",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SAFEWAY INC",
"enumeration_date": "2006-07-02",
"last_updated": "2012-10-22",
"status": "A",
"authorized_official_last_name": "DELLA",
"authorized_official_first_name": "DELLA",
"authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
"authorized_official_telephone_number": "623-869-3602"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP412865",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
"identifier": "3981037",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3981037",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GENUARDI'S PHARMACY #2010",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.