Active NPI
Jill Elizabeth Grutza, PHARM.D.
- Pharmacist
- Elizabeth City, NC
National Provider Identifier
1578871489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18583
- Practice address
- 101 W Ehringhaus St
Elizabeth City, NC 27909-4921 - Phone
- (252) 338-3933
- Fax
- (252) 338-1760
- NPI assigned
- Sep 14, 2010
- 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 | 18583 | NC | Primary |
Addresses
Primary practice location
101 W Ehringhaus St
Elizabeth City, NC 27909-4921
Mailing address
101 W Ehringhaus St
Elizabeth City, NC 27909-4921
Phone (252) 338-3933
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 |
|---|---|---|---|
| 18583 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1578871489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W EHRINGHAUS ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094921",
"telephone_number": "252-338-3933",
"fax_number": "252-338-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W EHRINGHAUS ST",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279094921",
"telephone_number": "252-338-3933",
"fax_number": "252-338-1760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUTZA",
"first_name": "JILL",
"middle_name": "ELIZABETH",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
- Kinisha Greene
- Sharon Lizbeth Greene
- Jacquetta Denise Gregory, LCSWA
- Daria Lenoria Robinson Griffis, LCSW-A, ASW
- Kara Jordan Grimstead, C-SLPA
- Stephen Michael Guy, PHARMD
- H.E.a.L. Helping Everyone Achieve Life Skills Community Center
- Krista Lentini Hair, MSW, LCSW-A
- Amparo Elisa Halecki, NP
- Catherine Hammill, RBT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.