Individual provider Active NPI

Peter Alexander Grujich, RPH

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1750692901
Registry record updated Jun 22, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Feb 20, 2013.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP-032717L Issued in PA
Practice address
4770 McKnight Rd
Pittsburgh, PA 15237-3416
Phone
(412) 364-8100
Fax
(412) 364-8610
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP-032717L PA Primary

Addresses

Primary practice location

4770 McKnight Rd
Pittsburgh, PA 15237-3416

Mailing address

4770 McKnight Rd
Pittsburgh, PA 15237-3416
Phone (412) 364-8100

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP-032717LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eckerd Corporation Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1750692901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 MCKNIGHT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373416",
            "telephone_number": "412-364-8100",
            "fax_number": "412-364-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 MCKNIGHT RD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152373416",
            "telephone_number": "412-364-8100",
            "fax_number": "412-364-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUJICH",
        "first_name": "PETER",
        "middle_name": "ALEXANDER",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-032717L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.