Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Grillo

Individual provider Ambulatory Care Pharmacist · NPI 1184316069

Nicholas Grillo is an Ambulatory Care Pharmacist in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

51 N 39th St
Philadelphia, PA 19104-2640
Phone: (609) 828-8802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 128 Fox Chase Ln, Cherry Hill, NJ 08034-2804 — (609) 828-8802

Specialties & licences

Ambulatory Care Pharmacist (primary) Taxonomy 1835P2201X · Licence RP458486 (PA)
Ambulatory Care Pharmacist Taxonomy 1835P2201X · Licence 28RI04314300 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184316069
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

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