Active NPI
Mitchell Groth, PHARMD
- Pharmacist
- Menomonee Falls, WI
National Provider Identifier
1003404682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19925
- Practice address
- N85W15882 Appleton Ave
Menomonee Falls, WI 53051-3082 - Phone
- (262) 437-0031
- NPI assigned
- Jan 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19925 | WI | Primary |
Addresses
Primary practice location
N85W15882 Appleton Ave
Menomonee Falls, WI 53051-3082
Mailing address
161 N Story Pkwy
Milwaukee, WI 53208-3618
Phone (262) 501-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19925 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1003404682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "161 N STORY PKWY",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532083618",
"telephone_number": "262-501-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N85W15882 APPLETON AVE",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530513082",
"telephone_number": "262-437-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTH",
"first_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-08",
"last_updated": "2021-01-08",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "19925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.