Individual provider Active NPI

Joseph G Grizzanti, RPH

  • Pharmacist
  • Carbondale, PA
National Provider Identifier
1447540273
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP046312 Issued in PA
Practice address
54 N Main St
Rite Aid Pharmacy 2768
Carbondale, PA 18407-1927
Phone
(570) 282-3431
Fax
(570) 282-5142
NPI assigned
Apr 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP046312 PA Primary

Addresses

Primary practice location

54 N Main St
Rite Aid Pharmacy 2768
Carbondale, PA 18407-1927

Mailing address

54 N Main St
Rite Aid Pharmacy 2768
Carbondale, PA 18407-1927
Phone (570) 282-3431

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
RP046312PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC Past Accepting new patients

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": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1447540273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 N MAIN ST",
            "address_2": "RITE AID PHARMACY 2768",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071927",
            "telephone_number": "570-282-3431",
            "fax_number": "570-282-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 N MAIN ST",
            "address_2": "RITE AID PHARMACY 2768",
            "city": "CARBONDALE",
            "state": "PA",
            "postal_code": "184071927",
            "telephone_number": "570-282-3431",
            "fax_number": "570-282-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIZZANTI",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.