Andrea P Graves, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

51286387 Issued in IL

Practice address

122 W Wilson St
Batavia, IL 60510-1945

Phone

(630) 406-9258

NPI assigned

Mar 10, 2022

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

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Batavia, IL
  • NPI 1508871740
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1093463978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101945",
            "telephone_number": "630-406-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 W WILSON ST",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605101945",
            "telephone_number": "630-406-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "ANDREA",
        "middle_name": "P",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "51286387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Energy Women'S Health, PLLC
• Traci Rita Gouriotis, MS SLPL CCC
• Isabel Govea, M.H.S
• Barbara Goy, LCSW, CADC, MISAII
• Dianne L Grande, PH.D.
• Great Homecare Inc
• Queila Griffin
• Mary Therese Gustafson, MS CCCSLPL
• Stephanie Halihan, LCSW
• Kimberley Clarice Hamilton Ross, SLP

• Pharmacist in Batavia, IL
• Providers in Batavia, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.