Peggy Groeneveld, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302040789 Issued in MI

Practice address

1000 Cedar St
Houghton, MI 49931-1978

Phone

(906) 231-8009

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1356972020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CEDAR ST",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311978",
            "telephone_number": "906-231-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CEDAR ST",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499311978",
            "telephone_number": "906-231-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Osceola St",
            "address_purpose": "LOCATION",
            "city": "Laurium",
            "state": "MI",
            "postal_code": "499132134",
            "country_code": "US",
            "telephone_number": "906-337-6574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROENEVELD",
        "first_name": "PEGGY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-16337",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302040789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF PHARMACY",
            "identifier": "T-16337",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN BOARD OF PHARMACY",
            "identifier": "5302040789",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.groeneveld@aspirus.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Cedar St",
            "city": "Houghton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499311978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.groeneveld@aspirus.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Cedar St",
            "city": "Houghton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499311978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.groeneveld@aspirus.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Cedar St",
            "city": "Houghton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499311978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peggy.groeneveld@aspirus.org",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Cedar St",
            "city": "Houghton",
            "state": "MI",
            "country_code": "US",
            "postal_code": "499311978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Penny Gnadinger, RN
• Jennifer L. Gransell, BA SW
• Laurel Green
• Kathleen Greenough, RN
• Leslie Marie Griffith, MSW
• Samuel Gregory Hadjis
• Kirk David Hammel, CMT
• Jessica L Harju, OT
• Martin Edward Harkins, OD
• Anna Elizabeth Hartz

• Pharmacist in Houghton, MI
• Providers in Houghton, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.

Verify at the official NPI Registry.