Traci Lynn Grube

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

1341 Wright Ave
Alma, MI 48801-1134

Phone

(989) 463-6111

Fax

(989) 466-0742

NPI assigned

Jul 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1669045365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011134",
            "telephone_number": "989-463-6111",
            "fax_number": "989-466-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 WRIGHT AVE",
            "city": "ALMA",
            "state": "MI",
            "postal_code": "488011134",
            "telephone_number": "989-463-6111",
            "fax_number": "989-466-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUBE",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Griffin, ATC
• Jenna Alexis Grimm, PHARMD
• Rachel Grinnell
• Phareena Gross
• Billy Leroy Grossett II
• Paul G Gruca, MD
• Victor Guajardo
• Caitlyn Gutierrez, LLPC
• Olivia Guziejko, OTRL
• Aleta Anne Haase

• Pharmacy Technician in Alma, MI
• Providers in Alma, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.