Active NPI
Theresa Marie Gnjatovich, R.PH., CGP
- Geriatric Pharmacist
- Ambridge, PA
National Provider Identifier
1740460401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- RP-029486L
- Practice address
- 331 Merchant St
Ambridge, PA 15003-2523 - Phone
- (717) 329-1302
- Fax
- (412) 734-6944
- NPI assigned
- Nov 10, 2007
- Last updated
- Nov 10, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | RP-029486L | PA | Primary |
Addresses
Primary practice location
331 Merchant St
Ambridge, PA 15003-2523
Mailing address
331 Merchant St
Ambridge, PA 15003-2523
Phone (717) 329-1302
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 |
|---|---|---|---|
| RP-029486L | PA | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194652800000",
"number": "1740460401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 MERCHANT ST",
"city": "AMBRIDGE",
"state": "PA",
"postal_code": "150032523",
"telephone_number": "717-329-1302",
"fax_number": "412-734-6944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 MERCHANT ST",
"city": "AMBRIDGE",
"state": "PA",
"postal_code": "150032523",
"telephone_number": "717-329-1302",
"fax_number": "412-734-6944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNJATOVICH",
"first_name": "THERESA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "R.PH., CGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-10",
"last_updated": "2007-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "PA",
"license": "RP-029486L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ambridge, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.