Individual provider Active NPI

Elizabeth Maria Graumann, PHARM.D.

  • Pharmacist
  • Stockton, CA
National Provider Identifier
1427324524
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
42966 Issued in CA
Practice address
1617 N California St Ste 1F
Stockton, CA 95204-6117
Phone
(209) 420-1720
NPI assigned
Mar 22, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42966 CA Primary

Addresses

Primary practice location

1617 N California St Ste 1F
Stockton, CA 95204-6117

Mailing address

18980 N Highway 88
Lockeford, CA 95237-9787
Phone (209) 993-0661

Other practice location 1

18980 N Highway 88
Lockeford, CA 95237-9787
Phone (209) 993-0661

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

LicenseStateTypeSpecialty
42966CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Pharmacy 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1427324524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18980 N HIGHWAY 88",
            "city": "LOCKEFORD",
            "state": "CA",
            "postal_code": "952379787",
            "telephone_number": "209-993-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CALIFORNIA ST STE 1F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046117",
            "telephone_number": "209-420-1720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18980 N Highway 88",
            "address_purpose": "LOCATION",
            "city": "Lockeford",
            "state": "CA",
            "postal_code": "952379787",
            "country_code": "US",
            "telephone_number": "209-993-0661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAUMANN",
        "first_name": "ELIZABETH",
        "middle_name": "MARIA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.