Active NPI
Scott Jonathan Grundmann, BS, PHARMD
- Pharmacist
- Dallas, TX
National Provider Identifier
1437758448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 46525
- Practice address
- 11661 Preston Rd Ste 218
Dallas, TX 75230-6173 - Phone
- (214) 363-1571
- Fax
- (214) 363-3940
- NPI assigned
- Oct 21, 2020
- Last updated
- Jan 30, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 46525 | TX | Primary |
Addresses
Primary practice location
11661 Preston Rd Ste 218
Dallas, TX 75230-6173
Mailing address
12450 Montana Dr
Frisco, TX 75035-0818
Phone (214) 668-9594
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
- Bachelor of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46525 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Texas LP | Past | Accepting new patients | |
| Kroger Texas L P | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1437758448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12450 MONTANA DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750350818",
"telephone_number": "214-668-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11661 PRESTON RD STE 218",
"city": "DALLAS",
"state": "TX",
"postal_code": "752306173",
"telephone_number": "214-363-1571",
"fax_number": "214-363-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUNDMANN",
"first_name": "SCOTT",
"middle_name": "JONATHAN",
"credential": "BS, PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-21",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "46525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.