Individual provider Active NPI

Katie Lynn Grilley, PHARMD

  • Pharmacist
  • Kalispell, MT
National Provider Identifier
1558610378
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PHA-PHA-LIC-12408 Issued in MT
Practice address
200 Conway Dr
Kalispell, MT 59901-3112
Phone
(406) 751-7600
Fax
(406) 257-5230
NPI assigned
Sep 7, 2012
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PHA-PHA-LIC-12408 MT Primary

Addresses

Primary practice location

200 Conway Dr
Kalispell, MT 59901-3112

Mailing address

619 Mountain View Dr
Kalispell, MT 59901-6699
Phone (406) 249-6487

Other practice location 1

8111 Mt Highway 35
Bigfork, MT 59911-3588
Phone (406) 837-4370

Other practice location 2

2100 9th St W
Columbia Falls, MT 59912-4416
Phone (406) 892-9997

Other names 1

  • Katie Lynn Hattel Former name

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

LicenseStateTypeSpecialty
PHA-PHA-LIC-12408MTMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bigfork Drug, Inc Past Accepting new patients
Llewellyn Drug Inc 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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1558610378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 MOUNTAIN VIEW DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599016699",
            "telephone_number": "406-249-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CONWAY DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013112",
            "telephone_number": "406-751-7600",
            "fax_number": "406-257-5230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8111 Mt Highway 35",
            "address_purpose": "LOCATION",
            "city": "Bigfork",
            "state": "MT",
            "postal_code": "599113588",
            "country_code": "US",
            "telephone_number": "406-837-4370",
            "fax_number": "406-837-4390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 9th St W",
            "address_purpose": "LOCATION",
            "city": "Columbia Falls",
            "state": "MT",
            "postal_code": "599124416",
            "country_code": "US",
            "telephone_number": "406-892-9997",
            "fax_number": "406-892-2376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRILLEY",
        "first_name": "KATIE",
        "middle_name": "LYNN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-07",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MT",
            "license": "PHA-PHA-LIC-12408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "HATTEL",
            "middle_name": "LYNN",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.

Verify at the official NPI Registry.