Active NPI
Grace Hillesheim, PHARMD
- Pharmacist
- Glenwood, MN
National Provider Identifier
1114459245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122829
- Practice address
- 7 4TH Ave SE
Suite 100
Glenwood, MN 56334-1879 - Phone
- (320) 634-4434
- NPI assigned
- Mar 29, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 122829 | MN | Primary |
Addresses
Primary practice location
7 4TH Ave SE
Suite 100
Glenwood, MN 56334-1879
Mailing address
7 4TH Ave SE
Suite 100
Glenwood, MN 56334-1879
Phone (320) 634-4434
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122829 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trumm Drug, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Retail Pharmacy
- Glenwood, MN
- NPI 1457411282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490745600000",
"number": "1114459245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 4TH AVE SE",
"address_2": "SUITE 100",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563341879",
"telephone_number": "320-634-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 4TH AVE SE",
"address_2": "SUITE 100",
"city": "GLENWOOD",
"state": "MN",
"postal_code": "563341879",
"telephone_number": "320-634-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLESHEIM",
"first_name": "GRACE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-29",
"last_updated": "2017-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenwood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.