Individual provider Active NPI

Grace Leewan To, PHARMD

  • Pharmacist
  • Raynham, MA
National Provider Identifier
1144822123
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH237659 Issued in MA
Practice address
160 Broadway
Raynham, MA 02767-1414
Phone
(508) 692-6751
Fax
(508) 692-6751
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH05804 RI
Pharmacist 183500000X PH237659 MA Primary

Addresses

Primary practice location

160 Broadway
Raynham, MA 02767-1414

Mailing address

26 Brookwood Rd
Bristol, RI 02809-1215
Phone (401) 486-1502

Other names 1

  • Dr. Grace Leewan To Professional name

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

LicenseStateTypeSpecialty
PH237659MAMDPharmacist
RPH05804RIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1144822123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROOKWOOD RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091215",
            "telephone_number": "401-486-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BROADWAY",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671414",
            "telephone_number": "508-692-6751",
            "fax_number": "508-692-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TO",
        "first_name": "GRACE",
        "middle_name": "LEEWAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "RI",
            "license": "RPH05804",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH237659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "TO",
            "middle_name": "LEEWAN",
            "prefix": "DR.",
            "credential": "PHARMD, RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.