Active NPI
Alison Grande, PHARMD
- Pharmacist
- Oak Creek, WI
National Provider Identifier
1386928984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13652-40
- Practice address
- 2320 W Ryan Rd
Oak Creek, WI 53154-4325 - Phone
- (414) 761-1692
- Fax
- (855) 784-5296
- NPI assigned
- Oct 1, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2008027635 | MO | |
| Pharmacist | 183500000X | 1-14502 | KS | |
| Pharmacist | 183500000X | 61415 | CA | |
| Pharmacist | 183500000X | 16790 | CO | |
| Pharmacist | 183500000X | 13652-40 | WI | Primary |
Addresses
Primary practice location
2320 W Ryan Rd
Oak Creek, WI 53154-4325
Mailing address
1417 S 124TH St
New Berlin, WI 53151-1801
Phone (262) 794-3661
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 |
|---|---|---|---|
| 61415 | CA | MD | Pharmacist |
| 16790 | CO | MD | Pharmacist |
| 1-14502 | KS | MD | Pharmacist |
| 2008027635 | MO | MD | Pharmacist |
| 13652-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roundys Supermarkets Inc | Past | Accepting new patients | |
| Roundys Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Marshfield, WI
- NPI 1013484997
-
- Community/Retail Pharmacy
- Oak Creek, WI
- NPI 1447308705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1386928984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 S 124TH ST",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531511801",
"telephone_number": "262-794-3661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 W RYAN RD",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531544325",
"telephone_number": "414-761-1692",
"fax_number": "855-784-5296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDE",
"first_name": "ALISON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-01",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2008027635",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-14502",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "61415",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "16790",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "13652-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.