Active NPI
Michael James Gruca
- Pharmacist
- Monaca, PA
National Provider Identifier
1376244681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP456109
- Practice address
- 3950 Brodhead Rd Ste 100
Monaca, PA 15061-3030 - Phone
- (877) 836-9925
- NPI assigned
- Mar 14, 2023
- Last updated
- Mar 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP456109 | PA | Primary |
Addresses
Primary practice location
3950 Brodhead Rd Ste 100
Monaca, PA 15061-3030
Mailing address
3950 Brodhead Rd Ste 100
Monaca, PA 15061-3030
Phone (877) 836-9925
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP456109 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Med Pharmaceuticals, Inc. | Current | Accepting new patients |
Locations
3950 Brodhead Rd
Ste 100
Monaca, PA 15061
Phone (724) 775-8688
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1376244681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 BRODHEAD RD STE 100",
"city": "MONACA",
"state": "PA",
"postal_code": "150613030",
"telephone_number": "877-836-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3950 BRODHEAD RD STE 100",
"city": "MONACA",
"state": "PA",
"postal_code": "150613030",
"telephone_number": "877-836-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUCA",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-14",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP456109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.