Active NPI
Naomi Graves, PHARMD
- Pharmacist
- Hawarden, IA
National Provider Identifier
1669887733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21913
- Practice address
- 1111 11TH St
Hawarden, IA 51023-1903 - Phone
- (712) 551-3100
- NPI assigned
- Jun 26, 2014
- Last updated
- Sep 26, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5299 | SD | |
| Pharmacist | 183500000X | 5277 | SD | |
| Pharmacist | 183500000X | 121176 | MN | |
| Pharmacist | 183500000X | 21913 | IA | Primary |
Addresses
Primary practice location
1111 11TH St
Hawarden, IA 51023-1903
Mailing address
1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3173
Other practice location 1
204 W Main St
Elk Point, SD 57025-2405
Phone (605) 356-3336
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 |
|---|---|---|---|
| 21913 | IA | MD | Pharmacist |
| 121176 | MN | MD | Pharmacist |
| 5277 | SD | MD | Pharmacist |
| 5299 | SD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Luverne, MN
- NPI 1023107646
-
dba Lewis Family Drug #37
- Community/Retail Pharmacy
- Elk Point, SD
- NPI 1447624846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601078400000",
"number": "1669887733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 11TH ST",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510231903",
"telephone_number": "712-551-3173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 11TH ST",
"city": "HAWARDEN",
"state": "IA",
"postal_code": "510231903",
"telephone_number": "712-551-3100"
}
],
"practiceLocations": [
{
"address_1": "204 W Main St",
"address_purpose": "LOCATION",
"city": "Elk Point",
"state": "SD",
"postal_code": "570252405",
"country_code": "US",
"telephone_number": "605-356-3336",
"fax_number": "605-356-3202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAVES",
"first_name": "NAOMI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2020-09-26",
"certification_date": "2020-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5299",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "5277",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "121176",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawarden, IA
- Community Hosp (Hawarden Community Hospital)
- Hanna Lucille Cummins, PA
- Heidi Lynn Draayer, D.D.S.
- Family First Dental Associates of Primghar, P.C. (Family 1st Dental of Hawarden)
- Jaedyn Fehringer
- Greater Sioux Community Health Center, Inc (Promise CHC Hawarden Elementary)
- Monte James Harvey, D.O.
- Hawarden Family Chiropractic Inc
- Hawarden Family Eye Care PLLC
- Hawarden Regional Healthcare
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.