Provider Demographics
NPI:1659501773
Name:MCGRODY, JONATHAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:JONATHAN
Middle Name:
Last Name:MCGRODY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 EASTON RD
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2457
Mailing Address - Country:US
Mailing Address - Phone:215-491-5377
Mailing Address - Fax:215-491-5377
Practice Address - Street 1:401 EASTON RD
Practice Address - Street 2:
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-2457
Practice Address - Country:US
Practice Address - Phone:215-491-5377
Practice Address - Fax:215-491-5377
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP042806L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist