Individual provider Active NPI

Ronald Julius Grothe, R. PH.

  • Pharmacotherapy Pharmacist
  • Le Sueur, MN
National Provider Identifier
1043497381
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
112797-9 Issued in MN
Practice address
204 Valley Green SQ
Le Sueur, MN 56058-1915
Phone
(507) 665-3301
NPI assigned
Jan 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 112797-9 MN Primary

Addresses

Primary practice location

204 Valley Green SQ
Le Sueur, MN 56058-1915

Mailing address

204 Valley Green SQ
Le Sueur, MN 56058-1915
Phone (507) 665-3301

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
112797-9MNMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201564800000",
    "number": "1043497381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 VALLEY GREEN SQ",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581915",
            "telephone_number": "507-665-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 VALLEY GREEN SQ",
            "city": "LE SUEUR",
            "state": "MN",
            "postal_code": "560581915",
            "telephone_number": "507-665-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTHE",
        "first_name": "RONALD",
        "middle_name": "JULIUS",
        "credential": "R. PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-29",
        "last_updated": "2008-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "112797-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Le Sueur, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.