Betty L. Grinde, R.PH.
Individual provider Active NPI Pharmacist · Story City, IA
NPI 1356405997 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1356405997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15568 (IA)
- Practice address
- 621 Broad St
Story City, IA 50248-1200 - Phone
- (515) 733-2233
- Fax
- (515) 733-2366
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15568 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15568 | IA | Yes |
Addresses
Primary practice location
621 Broad St
Story City, IA 50248-1200
Mailing address
621 Broad St
Story City, IA 50248-1200
Phone (515) 733-2233
Other providers in Story City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.