Active NPI
Mark Hilpert Grisetti, RPH
- Pharmacist
- Bedford, PA
National Provider Identifier
1669201711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP003563L
- Practice address
- PO Box 346
Bedford, PA 15522-0346 - Phone
- (814) 623-5512
- NPI assigned
- Jul 29, 2024
- 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 | RP003563L | PA | Primary |
Addresses
Primary practice location
PO Box 346
Bedford, PA 15522-0346
Mailing address
786 Lovely Rd
Alum Bank, PA 15521-9046
Phone (814) 276-3377
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 |
|---|---|---|---|
| RP003563L | PA | MD | Pharmacist |
Practice roles
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bedford, PA
- NPI 1467457366
-
- Long Term Care Pharmacy
- Bedford, PA
- NPI 1760109441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1669201711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 LOVELY RD",
"city": "ALUM BANK",
"state": "PA",
"postal_code": "155219046",
"telephone_number": "814-276-3377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "BEDFORD",
"state": "PA",
"postal_code": "155220346",
"telephone_number": "814-623-5512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRISETTI",
"first_name": "MARK",
"middle_name": "HILPERT",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP003563L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.