Individual provider Active NPI

Michael A Girgis, RPH

  • Pharmacist
  • Sayre, PA
National Provider Identifier
1477056117
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP451863 Issued in PA
Practice address
1887 Elmira St
Sayre, PA 18840-9249
Phone
(570) 888-3729
Fax
(570) 888-3729
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03915200 NJ
Pharmacist 183500000X RP451863 PA Primary

Addresses

Primary practice location

1887 Elmira St
Sayre, PA 18840-9249

Mailing address

1887 Elmira St
Sayre, PA 18840-9249
Phone (570) 888-3729

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
28RI03915200NJMDPharmacist
RP451863PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Promedicalsupply LLC CurrentSince Jul 31, 2022 Accepting new patients

Locations

1250 Bethlehem Pike
Unit Q
Hatfield, PA 19440
Phone (267) 855-1188

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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1477056117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 ELMIRA ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409249",
            "telephone_number": "570-888-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 ELMIRA ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409249",
            "telephone_number": "570-888-3729",
            "fax_number": "570-888-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRGIS",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03915200",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.