Individual provider Active NPI

Leann K Gruhlke, RPH

  • Pharmacist
  • Jackson, MN
National Provider Identifier
1275909103
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
115226 Issued in MN
Practice address
825 3Rd St
Jackson, MN 56143-1187
Phone
(507) 847-3282
Fax
(507) 847-5391
NPI assigned
Aug 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 115226 MN Primary

Addresses

Primary practice location

825 3Rd St
Jackson, MN 56143-1187

Mailing address

PO Box 7
Jackson, MN 56143-0007
Phone (507) 847-3282

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
115226MNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Past Accepting new patients
Throndset Drug Company Past Accepting new patients
Sanford Health Network Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439510400000",
    "number": "1275909103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561430007",
            "telephone_number": "507-847-3282",
            "fax_number": "507-847-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 3RD ST",
            "city": "JACKSON",
            "state": "MN",
            "postal_code": "561431187",
            "telephone_number": "507-847-3282",
            "fax_number": "507-847-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUHLKE",
        "first_name": "LEANN",
        "middle_name": "K",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.