Individual provider Active NPI

Paul J Grew, RPH

  • Pharmacist
  • North Tonawanda, NY
National Provider Identifier
1760663801
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046222 Issued in NY
Practice address
6725 Cortland Dr
North Tonawanda, NY 14120-9651
Phone
(585) 820-1344
Fax
(716) 631-2961
NPI assigned
Nov 16, 2007
Last updated
Nov 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046222 NY Primary

Addresses

Primary practice location

6725 Cortland Dr
North Tonawanda, NY 14120-9651

Mailing address

6725 Cortland Dr
North Tonawanda, NY 14120-9651
Phone (585) 820-1344

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

LicenseStateTypeSpecialty
046222NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1760663801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 CORTLAND DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209651",
            "telephone_number": "585-820-1344",
            "fax_number": "716-631-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 CORTLAND DR",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141209651",
            "telephone_number": "585-820-1344",
            "fax_number": "716-631-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREW",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.