Active NPI
Gretchen Winters, RPH
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1174780969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302035747
- Practice address
- 1838 Breton Rd SE
Grand Rapids, MI 49506-4869 - Phone
- (616) 949-5710
- NPI assigned
- May 20, 2008
- 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 | 5302035747 | MI | Primary |
Addresses
Primary practice location
1838 Breton Rd SE
Grand Rapids, MI 49506-4869
Mailing address
2598 87TH St SW
Byron Center, MI 49315-9236
Phone (616) 450-9385
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302035747 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1174780969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2598 87TH ST SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159236",
"telephone_number": "616-450-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1838 BRETON RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064869",
"telephone_number": "616-949-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINTERS",
"first_name": "GRETCHEN",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302035747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.