Active NPI
Nancy Graser
- Pharmacist
- Saint Peters, MO
National Provider Identifier
1629677208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042356
- Practice address
- 530 Mid Rivers Mall Dr
Saint Peters, MO 63376-2150 - Phone
- (636) 970-3222
- NPI assigned
- Oct 23, 2020
- 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 | 042356 | MO | Primary |
Addresses
Primary practice location
530 Mid Rivers Mall Dr
Saint Peters, MO 63376-2150
Mailing address
4722 Briarcroft Dr
Saint Charles, MO 63304-8780
Phone (314) 799-6321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042356 | Other | MO | RPH LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.02733@store.walgreens.com |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042356 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
-
- Pharmacy
- Saint Peters, MO
- NPI 1548276017
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1629677208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4722 BRIARCROFT DR",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633048780",
"telephone_number": "314-799-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 MID RIVERS MALL DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762150",
"telephone_number": "636-970-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASER",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "042356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RPH LICENSE",
"identifier": "042356",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.02733@store.walgreens.com",
"affiliation": "N",
"address_1": "530 Mid Rivers Mall Dr",
"city": "Saint Peters",
"state": "MO",
"country_code": "US",
"postal_code": "633762150",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.