Active NPI
Mercedes Kate Grove, PHARMD
- Pharmacist
- Evansville, IN
National Provider Identifier
1548998420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26029886A
- Practice address
- 600 Mary St
Evansville, IN 47710-1674 - Phone
- (812) 450-3394
- NPI assigned
- Aug 9, 2022
- Sex
- Female
- 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 | 26029886A | IN | Primary |
Addresses
Primary practice location
600 Mary St
Evansville, IN 47710-1674
Mailing address
1545 Sorenson Dr
Windsor, CO 80550-4606
Phone (812) 899-9002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26029886A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1548998420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 SORENSON DR",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805504606",
"telephone_number": "812-899-9002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 MARY ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101674",
"telephone_number": "812-450-3394"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "MERCEDES",
"middle_name": "KATE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26029886A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
- Craig Matthew Gross, L.A.T., A.T.C.,CPED
- Marsha Gross, RN
- Darla R Grossman, MD
- Grounded Growth Counseling and Consulting, LLC
- Groundworks Pediatric Therapy LLC
- Ariana Groves
- Donna D Groves, MSW, LCSW
- Growing Years Rehab Services Inc
- Eleanor Elizabeth Grunwald, M.A.,FAAA,CCC-A
- Guardian Angels Homecare LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.