Jeyda Delreese Gruel-Fields, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

26020088A Issued in IN

Practice address

7008 Bluffton Rd
Fort Wayne, IN 46809-2706

Phone

(260) 747-4136

Fax

(260) 747-4137

NPI assigned

Nov 29, 2019

Sex

Female

Sole proprietor

No

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1574985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574985600000",
    "number": "1326685108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 TOMAHAWK TRL",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044938",
            "telephone_number": "260-602-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 BLUFFTON RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468092706",
            "telephone_number": "260-747-4136",
            "fax_number": "260-747-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUEL-FIELDS",
        "first_name": "JEYDA",
        "middle_name": "DELREESE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-29",
        "last_updated": "2019-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020088A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Renae Grubaugh, MA, BCBA
• Amanda Marie Grubb, COTA
• Ann M. Grubb, PA
• Brian L Grubb, LSW
• Paige Grube, PHARMD
• Evangeline Grunden
• Valerie Lynn Gualdoni, MA,CCC-SLP
• Guardian Consortium Group, LLC (Nurse Next Door)
• Guardian Home Health Care LLC
• Guardian Homecare LLC

• Pharmacist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2019; 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.