Active NPI
Willard Grubb
- Pharmacist
- Anderson, IN
National Provider Identifier
1013329119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26013318A
- Practice address
- 6610 S Scatterfield Rd
Anderson, IN 46013-9605 - Phone
- (765) 683-5233
- Fax
- (765) 683-5265
- NPI assigned
- May 22, 2014
- 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 | 26013318A | IN | Primary |
Addresses
Primary practice location
6610 S Scatterfield Rd
Anderson, IN 46013-9605
Mailing address
2132 W 1300 N
Alexandria, IN 46001-8510
Phone (765) 754-8927
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26013318A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400716800000",
"number": "1013329119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 W 1300 N",
"city": "ALEXANDRIA",
"state": "IN",
"postal_code": "460018510",
"telephone_number": "765-754-8927",
"fax_number": "765-683-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6610 S SCATTERFIELD RD",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460139605",
"telephone_number": "765-683-5233",
"fax_number": "765-683-5265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUBB",
"first_name": "WILLARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2014-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013318A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.