Individual provider Active NPI

Dawn Grinstead, CPHT

  • Pharmacy Technician
  • Point Pleasant, WV
National Provider Identifier
1083064240
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
PT00001077 Issued in WV
Practice address
4016 Ohio River Rd
Point Pleasant, WV 25550-3257
Phone
(304) 675-1612
Fax
(304) 675-7338
NPI assigned
Jun 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X PT00001077 WV Primary

Addresses

Primary practice location

4016 Ohio River Rd
Point Pleasant, WV 25550-3257

Mailing address

4016 Ohio River Rd
Point Pleasant, WV 25550-3257
Phone (304) 675-1612

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

LicenseStateTypeSpecialty
PT00001077WVMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1083064240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4016 OHIO RIVER RD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255503257",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4016 OHIO RIVER RD",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255503257",
            "telephone_number": "304-675-1612",
            "fax_number": "304-675-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINSTEAD",
        "first_name": "DAWN",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "WV",
            "license": "PT00001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.