Park Grocery Corporation

Primary specialty

Transportation BrokerTaxonomy code 347E00000X

Legal business name

PARK GROCERY CORPORATION

Practice address

255 Darrow Rd
Akron, OH 44305-3801

Phone

(330) 787-0711

NPI assigned

Mar 12, 2014

Organization subpart

No

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

Authorized official

Name

Amanda Petzker

Title

Manager

Phone

(330) 787-0711

Specialties & licenses 1

Addresses

Other names 1

• Hometown Grocery Delivery Doing business as

Locations

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1659797892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DARROW RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053801",
            "telephone_number": "330-787-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 DARROW RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443053801",
            "telephone_number": "330-787-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK GROCERY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "PETZKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-787-0711"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Grocery Delivery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Vincent Paris, PSYD
• Steven Q. Paris, D.D.S.
• Vincent A Paris
• Robert Parise, MD
• Michael Parish, M.D.
• Park West Surgical Center, LLC
• Brian Keith Park
• Parker Chiropractic Life Center Inc
• Tamra A Parker-Davis
• Austin Daniel Parker

• Transportation Broker in Akron, OH
• Providers in Akron, OH by specialty
• Transportation Broker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.