Organization Active NPI

GRM Pharmacy, LLC

  • Home Infusion Therapy Pharmacy
  • Glen Rock, NJ
National Provider Identifier
1952858730
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
28RS00344000 Issued in NJ
Legal business name
GRM PHARMACY, LLC
Practice address
210 Rock Rd
Glen Rock, NJ 07452-1707
Phone
(201) 444-3200
Fax
(201) 444-5792
NPI assigned
Sep 8, 2016
Organization subpart
Yes
Parent organization
ELWYN PHARMACY GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Nicholas Karalis
Title
Ceo & President
Phone
(610) 545-6040

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 28RS00344000 NJ
Home Infusion Therapy Pharmacy 3336H0001X 28RS00344000 NJ Primary
Specialty Pharmacy 3336S0011X 28RS00344000 NJ

Addresses

Primary practice location

210 Rock Rd
Glen Rock, NJ 07452-1707

Mailing address

3070 McCann Farm Dr Ste 101
Garnet Valley, PA 19060-2131
Phone (201) 444-3200

Other identifiers 2

IdentifierTypeStateIssuer
4349504MedicaidNJ
28RS00344000OtherNJSTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Glen Rock Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1952858730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MCCANN FARM DR STE 101",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602131",
            "telephone_number": "201-444-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521707",
            "telephone_number": "201-444-3200",
            "fax_number": "201-444-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRM PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELWYN PHARMACY GROUP, LLC",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "KARALIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "610-545-6040"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00344000",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NJ",
            "license": "28RS00344000",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NJ",
            "license": "28RS00344000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4349504",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "28RS00344000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.