Active NPI
Neneng Bretan Grauss, PHARM.D.
- Pharmacist
- Novato, CA
National Provider Identifier
1346520186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39128
- Practice address
- 300 Vintage Way
Novato, CA 94945-5007 - Phone
- (415) 899-1337
- Fax
- (415) 899-8544
- NPI assigned
- Aug 24, 2011
- 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 | 39128 | CA | Primary |
Addresses
Primary practice location
300 Vintage Way
Novato, CA 94945-5007
Mailing address
300 Vintage Way
Novato, CA 94945-5007
Phone (415) 899-1337
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39128 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1346520186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 VINTAGE WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455007",
"telephone_number": "415-899-1337",
"fax_number": "415-899-8544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 VINTAGE WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455007",
"telephone_number": "415-899-1337",
"fax_number": "415-899-8544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAUSS",
"first_name": "NENENG",
"middle_name": "BRETAN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "39128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.