Organization Active NPI

Genuardi's Family Markets LP GFM

Doing business as Genuardi's Pharmacy #3037

  • Community/Retail Pharmacy
  • Jamison, PA
National Provider Identifier
1730118787
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GENUARDI'S FAMILY MARKETS LP GFM
Doing business as
Genuardi's Pharmacy #3037
Practice address
2395 York Rd
Jamison, PA 18929-1071
Phone
(215) 488-2030
Fax
(215) 488-2017
NPI assigned
Jul 2, 2006
Last updated
Oct 23, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SAFEWAY INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Della Titus
Title
Managed Care Plan Specialist
Phone
(623) 869-3602

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PP481488 PA
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

2395 York Rd
Jamison, PA 18929-1071

Mailing address

20427 N 27TH Ave
Mail Stop 4551
Phoenix, AZ 85027-3241
Phone (623) 869-3602

Other identifiers 2

IdentifierTypeStateIssuer
1007518700026MedicaidPA
3979400OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • GENUARDI'S PHARMACY #3037 Doing business as

National Provider Directory

National Provider Directory
Part of
Safeway Pharmacy 1234

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1730118787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20427 N 27TH AVE",
            "address_2": "MAIL STOP 4551",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273241",
            "telephone_number": "623-869-3602",
            "fax_number": "623-869-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 YORK RD",
            "city": "JAMISON",
            "state": "PA",
            "postal_code": "189291071",
            "telephone_number": "215-488-2030",
            "fax_number": "215-488-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUARDI'S FAMILY MARKETS LP GFM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAFEWAY INC",
        "enumeration_date": "2006-07-02",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "DELLA",
        "authorized_official_title_or_position": "MANAGED CARE PLAN SPECIALIST",
        "authorized_official_telephone_number": "623-869-3602"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP481488",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007518700026",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3979400",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GENUARDI'S PHARMACY #3037",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamison, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.