Kathleen Marie Grall, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHA0016162 Issued in CO

Practice address

5050 N Nevada Ave
Colorado Springs, CO 80918-8602

Phone

(719) 264-5019

Fax

(719) 264-5016

NPI assigned

Oct 20, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Kathleen Marie Shook Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1477863637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9175 ARGENTINE PASS TRL",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247018",
            "telephone_number": "719-393-2251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188602",
            "telephone_number": "719-264-5019",
            "fax_number": "719-264-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRALL",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16162-PHA",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA0016162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "SHOOK",
            "middle_name": "MARIE",
            "prefix": "DR.",
            "credential": "PHARM. D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicole Marie Graham
• Shea Graham
• Sherry Graham, L.P.C.
• Tiffany Lynn Graham, D.C.
• Donald Bernard Grall, RPH
• Michelle Lynne Gramazio, FNP-C
• Madhav Gramke, DC
• James Stephen Grammer Sr., D.C.
• Nicole Grana, RBT
• Alex Granata, LMT

• Pharmacist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.