Organization Active NPI

Genuardi'S Family Markets LP GFM

  • Community/Retail Pharmacy
  • Springfield, PA
National Provider Identifier
1457380412
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENUARDI'S FAMILY MARKETS LP GFM
Doing business as
GENUARDI'S PHARMACY #3026
Practice address
950 Baltimore Pike
Springfield, PA 19064-2847
Phone
(610) 604-0237
Fax
(610) 604-0723
NPI assigned
Jul 2, 2006
Organization subpart
Yes
Parent organization
SAFEWAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Della Titus
Title
Managed Care Plan Specialist
Phone
(623) 869-3602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP481157 PA
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

950 Baltimore Pike
Springfield, PA 19064-2847

Mailing address

20427 N 27TH Ave
Mail Stop 4551
Phoenix, AZ 85027-3241
Phone (623) 869-3602

Other identifiers 2

IdentifierTypeStateIssuer
3980477OtherOTHER ID NUMBER-COMMERCIAL NUMBER
01914968MedicaidPA

Other names 1

  • GENUARDI'S PHARMACY #3026 Doing business as

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.

Locations

950 Baltimore Pike
Springfield, PA 19064
Phone (610) 604-0237

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": "1457380412",
    "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": "950 BALTIMORE PIKE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642847",
            "telephone_number": "610-604-0237",
            "fax_number": "610-604-0723"
        }
    ],
    "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": "TITUS",
        "authorized_official_first_name": "DELLA",
        "authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
        "authorized_official_telephone_number": "623-869-3602"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP481157",
            "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": "3980477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01914968",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENUARDI'S PHARMACY #3026",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, 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.

Verify at the official NPI Registry.