Richard S. Grillo Jr., PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00011463 Issued in WA

Practice address

219 E 1St St
Cle Elum, WA 98922-1103

Phone

(509) 674-2155

Fax

(509) 674-5660

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cle Elum Drug

  • Community/Retail Pharmacy
  • Cle Elum, WA
  • NPI 1164437760
  NPD (past) Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669508172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E 1ST ST",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221103",
            "telephone_number": "509-674-2155",
            "fax_number": "509-674-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E 1ST ST",
            "city": "CLE ELUM",
            "state": "WA",
            "postal_code": "989221103",
            "telephone_number": "509-674-2155",
            "fax_number": "509-674-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILLO",
        "first_name": "RICHARD",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Anne Maclachlan Franks, N.D.
• Jessica Frazee
• Lisa Jill Gerber, LMHC
• Victoria Goudy, LMT, ND
• Cynthia K Gregory
• Sarah Mariah Heniges
• Julienne Jobin
• Wesley E Johnson, D.D.S.
• Kittitas County Hospital Dist 2
• Kittitas County Public Hospital Dist 1

• Pharmacist in Cle Elum, WA
• Providers in Cle Elum, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.