NPIMap

Organization Active NPI

Grove City Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Grove City, PA
National Provider Identifier
1942371059
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP413483L Issued in PA
Legal business name
GROVE CITY PHARMACY, INC.
Practice address
220 W Main St
Grove City, PA 16127-1224
Phone
(724) 458-4155
Fax
(724) 458-4995
NPI assigned
Nov 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Jeffrey P Mustovic, R.PH.
Title
Owner
Phone
(724) 538-4240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PP413483L PA Primary

Addresses

Primary practice location

220 W Main St
Grove City, PA 16127-1224

Mailing address

220 W Main St
Grove City, PA 16127-1224
Phone (724) 458-4155

Other identifiers 2

IdentifierTypeStateIssuer
0013007900001MedicaidPA
3965401OtherPANCPDP #

National Provider Directory

National Provider Directory

Locations

220 W Main St
Grove City, PA 16127
Phone (724) 458-4155

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1942371059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271224",
            "telephone_number": "724-458-4155",
            "fax_number": "724-458-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W MAIN ST",
            "city": "GROVE CITY",
            "state": "PA",
            "postal_code": "161271224",
            "telephone_number": "724-458-4155",
            "fax_number": "724-458-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-11",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "MUSTOVIC",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-538-4240",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413483L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013007900001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3965401",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.