Active NPI
Gregory Alan Grun, RPH
- Pharmacist
- Hoquiam, WA
National Provider Identifier
1437490489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00010538
- Practice address
- 2544 Simpson Ave
Hoquiam, WA 98550-3937 - Phone
- (360) 533-0961
- Fax
- (360) 532-8997
- NPI assigned
- Mar 14, 2013
- Sex
- Male
- 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 | PH00010538 | WA | Primary |
Addresses
Primary practice location
2544 Simpson Ave
Hoquiam, WA 98550-3937
Mailing address
2544 Simpson Ave
Hoquiam, WA 98550-3937
Phone (360) 533-0961
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010538 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crown Drug of Hoquiam 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hoquiam, WA
- NPI 1174681019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363219200000",
"number": "1437490489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 SIMPSON AVE",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "985503937",
"telephone_number": "360-533-0961",
"fax_number": "360-532-8997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 SIMPSON AVE",
"city": "HOQUIAM",
"state": "WA",
"postal_code": "985503937",
"telephone_number": "360-533-0961",
"fax_number": "360-532-8997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUN",
"first_name": "GREGORY",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-14",
"last_updated": "2013-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00010538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoquiam, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.