Jennifer Groditski, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS42524 Issued in FL

Practice address

2592 S Jenkins Rd
Fort Pierce, FL 34947-5310

Phone

(772) 429-3174

Fax

(772) 429-3180

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1013290246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 SW STEPHANIE WAY APT 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349871966",
            "telephone_number": "772-341-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2592 S JENKINS RD",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349475310",
            "telephone_number": "772-429-3174",
            "fax_number": "772-429-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRODITSKI",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS42524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Green
• Andrew Steven Greenberg, M.D.
• Nicole Lauren Greenberg, D.C.
• Shannon A Griffin, D.C.
• Renatta Griffith
• Donna Raye Grumblis, FNP
• Lori Grusnis
• Karina Guadarrama
• Guardian Insurance Group
• Maria Fernanda Guedes, MD

• Pharmacist in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.