GRM Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00344000 Issued in NJ

Legal business name

GRM PHARMACY, LLC

Practice address

210 Rock Rd
Glen Rock, NJ 07452-1707

Phone

(201) 444-3200

Fax

(201) 444-5792

NPI assigned

Jul 22, 2006

Organization subpart

Yes

Parent organization

ELWYN PHARMACY GROUP, L.L.C.As reported in NPPES

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

Authorized official

Name

Nicholas Karalis

Title

Ceo & President

Phone

(610) 545-6040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Glen Rock Medical Pharmacy Doing business as

Tax ID family

Glen Rock Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• GRM Pharmacy, LLC

  • Home Infusion Therapy Pharmacy
  • Glen Rock, NJ
  • NPI 1952858730
  NPD tax ID

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1619998689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MCCANN FARM DR STE 101",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602131",
            "telephone_number": "610-545-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521707",
            "telephone_number": "201-444-3200",
            "fax_number": "201-444-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRM PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN PHARMACY GROUP, L.L.C.",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "KARALIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "610-545-6040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00344000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4349504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2143668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Rock Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen Rock Physical Therapy and Sports Rehabilitation, Inc
• Jacquelyn Gnassi, LAC
• Eric Gonzalez, OTR/L
• Nicole Granert, DC
• Csilla Greiner, LPC
• GRM Pharmacy, LLC
• Group Orthopedics LLC
• Tamar Gruenbaum, D.D.S
• Chiraag Gupta, MD
• Ahmed S Hadi, M.D.

• Community/Retail Pharmacy in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.