Organization Active NPI

Grossano and Weinert Pharmacy Inc

  • Community/Retail Pharmacy
  • Bergenfield, NJ
National Provider Identifier
1811038896
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00479400 Issued in NJ
Legal business name
GROSSANO AND WEINERT PHARMACY INC
Practice address
32 S Washington Ave
Bergenfield, NJ 07621-2325
Phone
(201) 384-2820
Fax
(201) 384-3093
NPI assigned
Feb 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. John Vincent Grossano, RPH, PHARMD
Title
President
Phone
(201) 384-2820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00479400 NJ Primary

Addresses

Primary practice location

32 S Washington Ave
Bergenfield, NJ 07621-2325

Mailing address

32 S Washington Ave
Bergenfield, NJ 07621-2325
Phone (201) 384-2820

Other identifiers 2

IdentifierTypeStateIssuer
3106831OtherNCPDP #
4269608MedicaidNJ

Other names 1

  • Bergenfield Pharmacy Former legal business name

National Provider Directory

National Provider Directory

Locations

32 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2820

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1811038896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212325",
            "telephone_number": "201-384-2820",
            "fax_number": "201-384-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212325",
            "telephone_number": "201-384-2820",
            "fax_number": "201-384-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSSANO AND WEINERT PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "GROSSANO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-384-2820",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH, PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00479400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3106831",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4269608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergenfield Pharmacy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.