Organization Active NPI

PPG Script Inc

Doing business as RxXpress Health Mart Pharmacy

  • Long Term Care Pharmacy
  • Grove City, PA
National Provider Identifier
1679081467
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PP410989L Issued in PA
Legal business name
PPG SCRIPT INC
Doing business as
RxXpress Health Mart Pharmacy
Practice address
111 Mill St
Grove City, PA 16127-1514
Phone
(724) 458-8420
Fax
(724) 458-4216
NPI assigned
Jan 16, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PPG SCRIPT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Pamela Lee GrisnikNPI 1780448795
Title
Owner
Phone
(724) 458-8420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X PP410989L PA Primary

Addresses

Primary practice location

111 Mill St
Grove City, PA 16127-1514

Mailing address

111 Mill St
Grove City, PA 16127-1514
Phone (724) 458-8420

Other identifiers 1

IdentifierTypeStateIssuer
0012208220001MedicaidPA

Other names 2

  • RxXpress Health Mart Pharmacy Doing business as
  • RxXpress Health Mart Pharmacy LTC Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2160609Rxxpress Health Mart Pharmacy111 Mill St, Grove City, PA 16127Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
RX Express2 organizations share this tax ID, including this one
Part of
RX Express

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1679081467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 MILL ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271514",
            "telephone_number": "724-458-8420",
            "fax_number": "724-458-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MILL ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271514",
            "telephone_number": "724-458-8420",
            "fax_number": "724-458-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PPG SCRIPT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PPG SCRIPT, INC",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "GRISNIK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-458-8420"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "PA",
            "license": "PP410989L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012208220001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RxXpress Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RxXpress Health Mart Pharmacy LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.