Active NPI
Emily Alyse Gruenhagen, PHARMD
- Pharmacist
- Cleveland, OH
National Provider Identifier
1396987418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03328558
- Practice address
- 10090 Chester Ave
Cleveland, OH 44106-1600 - Phone
- (216) 721-2020
- Fax
- (216) 721-2457
- NPI assigned
- Apr 3, 2009
- 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 | 03328558 | OH | Primary |
Addresses
Primary practice location
10090 Chester Ave
Cleveland, OH 44106-1600
Mailing address
10090 Chester Ave
Cleveland, OH 44106-1600
Phone (216) 721-2020
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 |
|---|---|---|---|
| 03328558 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 03043
- Community/Retail Pharmacy
- Cleveland, OH
- NPI 1386650695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238716800000",
"number": "1396987418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10090 CHESTER AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061600",
"telephone_number": "216-721-2020",
"fax_number": "216-721-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10090 CHESTER AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441061600",
"telephone_number": "216-721-2020",
"fax_number": "216-721-2457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENHAGEN",
"first_name": "EMILY",
"middle_name": "ALYSE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2009-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03328558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.