Active NPI
Leon Grazul Jr., RPH
- Pharmacist
- Succasunna, NJ
National Provider Identifier
1497012645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01587400
- Practice address
- 2 Roxbury Mall Strip
Shop Rite Pharmacy
Succasunna, NJ 07876 - Phone
- (973) 584-4466
- Fax
- (973) 584-4648
- NPI assigned
- Apr 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 28RI01587400 | NJ | Primary |
Addresses
Primary practice location
2 Roxbury Mall Strip
Shop Rite Pharmacy
Succasunna, NJ 07876
Mailing address
7 Rockledge Rd
Randolph, NJ 07869-4335
Phone (973) 584-4466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI01587400 | Other | NJ | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01587400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334188800000",
"number": "1497012645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 ROCKLEDGE RD",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078694335",
"telephone_number": "973-584-4466",
"fax_number": "973-584-4648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ROXBURY MALL STRIP",
"address_2": "SHOP RITE PHARMACY",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "07876",
"telephone_number": "973-584-4466",
"fax_number": "973-584-4648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAZUL",
"first_name": "LEON",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-12",
"last_updated": "2012-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01587400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "28RI01587400",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.