Organization Active NPI

Grand Plaza Pharmacy Inc

  • Community/Retail Pharmacy
  • Bensalem, PA
National Provider Identifier
1497039853
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GRAND PLAZA PHARMACY INC
Practice address
965 Bristol Pike
Bensalem, PA 19020-8142
Phone
(215) 447-8277
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Darryl J Brodzinski, R.PHNPI 1437605185
Title
Manager
Phone
(215) 447-8277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

965 Bristol Pike
Bensalem, PA 19020-8142

Mailing address

965 Bristol Pike
Bensalem, PA 19020-8142
Phone (215) 447-8277

National Provider Directory

National Provider Directory

Locations

965 Bristol Pike
Bensalem, PA 19020
Phone (215) 447-8277

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1497039853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190208142",
            "telephone_number": "215-447-8277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 BRISTOL PIKE",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190208142",
            "telephone_number": "215-447-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PLAZA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "BRODZINSKI",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "215-447-8277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.