Active NPI
Kathleen Jo Groeblinghoff
- Pharmacist
- Groton, SD
National Provider Identifier
1760122253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6910
- Practice address
- 1205 N 1St St
Groton, SD 57445-2329 - Phone
- (605) 397-2363
- NPI assigned
- Mar 31, 2022
- 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 | 6910 | SD | Primary |
Addresses
Primary practice location
1205 N 1St St
Groton, SD 57445-2329
Mailing address
13385 403Rd Ave
Groton, SD 57445-6016
Phone (605) 651-5300
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 |
|---|---|---|---|
| 6910 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1760122253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13385 403RD AVE",
"city": "GROTON",
"state": "SD",
"postal_code": "574456016",
"telephone_number": "605-651-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N 1ST ST",
"city": "GROTON",
"state": "SD",
"postal_code": "574452329",
"telephone_number": "605-397-2363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROEBLINGHOFF",
"first_name": "KATHLEEN",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Groton, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.