Individual provider Active NPI

Joseph Gromadzyn, RPH

  • Pharmacist
  • Ventnor City, NJ
National Provider Identifier
1417125089
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28R101905900 Issued in NJ
Practice address
5100 Wellington Ave
Ventnor City, NJ 08406-1445
Phone
(609) 823-5875
Fax
(609) 823-6813
NPI assigned
Feb 15, 2008
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28R101905900 NJ Primary

Addresses

Primary practice location

5100 Wellington Ave
Ventnor City, NJ 08406-1445

Mailing address

33 N Martindale Ave
Ventnor City, NJ 08406-1939
Phone (609) 823-2019

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
28R101905900NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1417125089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 N MARTINDALE AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061939",
            "telephone_number": "609-823-2019",
            "fax_number": "609-823-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 WELLINGTON AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084061445",
            "telephone_number": "609-823-5875",
            "fax_number": "609-823-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROMADZYN",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28R101905900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.