Alisa Brooke Grismer, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

117219 Issued in MN

Practice address

15800 95TH Ave N
Park Nicollet
Maple Grove, MN 55369-4400

Phone

(952) 993-1414

Fax

(952) 993-1389

NPI assigned

Apr 12, 2008

Sex

Female

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1207958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1205009016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 95TH AVE N",
            "address_2": "PARK NICOLLET",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694400",
            "telephone_number": "952-993-1414",
            "fax_number": "952-993-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15800 95TH AVE N",
            "address_2": "PARK NICOLLET",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694400",
            "telephone_number": "952-993-1414",
            "fax_number": "952-993-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISMER",
        "first_name": "ALISA",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-12",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bee Greulich
• Abbey Griffin, RN
• Brad Griffore, D.C.
• McKensie Rose Grina, DC
• Steven R Grinde, D.D.S.
• Elisabeth Groebel, OTR/L
• Jody Groebner, PTA
• Viola Luna Grommes
• Jayme Gronneberg, PHARMD
• Ellen Gross, OTD, OTR/L

• Pharmacist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.