Individual provider Active NPI

Grace Rodes, RPH

  • Pharmacist
  • Cape Canaveral, FL
National Provider Identifier
1497024202
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS34648 Issued in FL
Practice address
7108 Marbella CT Unit 403
Cape Canaveral, FL 32920-3794
Phone
(321) 591-1032
NPI assigned
Dec 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS34648 FL Primary

Addresses

Primary practice location

7108 Marbella CT Unit 403
Cape Canaveral, FL 32920-3794

Mailing address

7108 Marbella CT Unit 403
Cape Canaveral, FL 32920-3794
Phone (321) 591-1032

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

LicenseStateTypeSpecialty
PS34648FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1497024202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 MARBELLA CT UNIT 403",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329203794",
            "telephone_number": "321-591-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 MARBELLA CT UNIT 403",
            "city": "CAPE CANAVERAL",
            "state": "FL",
            "postal_code": "329203794",
            "telephone_number": "321-591-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODES",
        "first_name": "GRACE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS34648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Canaveral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.