Active NPI
Tina Grapentine
- Pharmacist
- Mankato, MN
National Provider Identifier
1275949356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116488
- Practice address
- 1850 Adams St
T-0663
Mankato, MN 56001-4864 - Phone
- (952) 201-2516
- NPI assigned
- Jul 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | 116488 | MN | Primary |
Addresses
Primary practice location
1850 Adams St
T-0663
Mankato, MN 56001-4864
Mailing address
1850 Adams St
T-0663
Mankato, MN 56001-4864
Phone (507) 625-9009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116488 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1275949356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 ADAMS ST",
"address_2": "T-0663",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014864",
"telephone_number": "507-625-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 ADAMS ST",
"address_2": "T-0663",
"city": "MANKATO",
"state": "MN",
"postal_code": "560014864",
"telephone_number": "952-201-2516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAPENTINE",
"first_name": "TINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-09",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mankato, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.