Individual provider Active NPI

Megan Leigh Gruppe, RPH

  • Pharmacist
  • North Syracuse, NY
National Provider Identifier
1629390141
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
046850-1 Issued in NY
Practice address
5221 W Taft Rd
North Syracuse, NY 13212-2703
Phone
(315) 883-3333
Fax
(315) 452-0040
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 046850-1 NY Primary

Addresses

Primary practice location

5221 W Taft Rd
North Syracuse, NY 13212-2703

Mailing address

5221 W Taft Rd
North Syracuse, NY 13212-2703
Phone (315) 883-3333

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
046850-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KPH Healthcare Services, Inc. PastSince Sep 17, 2023 Accepting new patients
KPH Healthcare Services, Inc. PastSince Sep 17, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1629390141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122703",
            "telephone_number": "315-883-3333",
            "fax_number": "315-452-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5221 W TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122703",
            "telephone_number": "315-883-3333",
            "fax_number": "315-452-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUPPE",
        "first_name": "MEGAN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "046850-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.