Individual provider Active NPI

Richard Alan Gruhl, RPH

  • Pharmacist
  • Glendale, AZ
National Provider Identifier
1275808875
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S012943 Issued in AZ
Practice address
17550 N 79TH Ave
Glendale, AZ 85308-8711
Phone
(623) 776-4002
Fax
(623) 776-4021
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S012943 AZ Primary

Addresses

Primary practice location

17550 N 79TH Ave
Glendale, AZ 85308-8711

Mailing address

13114 W Limewood Dr
Sun City West, AZ 85375-5048
Phone (623) 640-1225

Other identifiers 1

IdentifierTypeStateIssuer
S012943OtherAZSTATE LICENSE-PHARMICIST

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

LicenseStateTypeSpecialty
S012943AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1275808875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 W LIMEWOOD DR",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755048",
            "telephone_number": "623-640-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17550 N 79TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088711",
            "telephone_number": "623-776-4002",
            "fax_number": "623-776-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUHL",
        "first_name": "RICHARD",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S012943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE-PHARMICIST",
            "identifier": "S012943",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.