Kaitlyn Renee Grunder

Primary specialty

PharmacistTaxonomy code 183500000X

License

020962 Issued in KY

Practice address

2188 Midland TRL
Shelbyville, KY 40065-9117

Phone

(502) 633-4209

NPI assigned

Jun 16, 2025

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

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
  • Shelbyville, KY
  • NPI 1760497911
  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": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1104712132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2188 MIDLAND TRL",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659117",
            "telephone_number": "502-633-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2188 MIDLAND TRL",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659117",
            "telephone_number": "502-633-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNDER",
        "first_name": "KAITLYN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "020962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Myranda Greif, OD
• Ashley F Griggs, LCSW, LCADC
• Brandie Michelle Grisham, LMFT
• Caroline Jane Grogan
• Grounded Roots Therapy Associates LLC
• Alyse Gabrielle Gunn
• Jason Guy
• Tara Gwynn
• Rachel Haas
• Juanita Simmons Hagan, LPCC

• Pharmacist in Shelbyville, KY
• Providers in Shelbyville, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.