Individual provider Active NPI

Hannah Graesser

  • Pharmacist
  • North Tonawanda, NY
National Provider Identifier
1770210437
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
070305I Issued in NY
Practice address
1066 Payne Ave
North Tonawanda, NY 14120-2720
Phone
(716) 694-0323
NPI assigned
Aug 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S025906 AZ
Pharmacist 183500000X 070305I NY Primary

Addresses

Primary practice location

1066 Payne Ave
North Tonawanda, NY 14120-2720

Mailing address

1066 Payne Ave
North Tonawanda, NY 14120-2720
Phone (716) 694-0323

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

LicenseStateTypeSpecialty
S025906AZMDPharmacist
070305INYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jul 21, 2024 Accepting new patients
Walgreen Co PastSince Jul 21, 2024 Accepting new patients

Locations

1066 Payne Ave
North Tonawanda, NY 14120
Phone (716) 694-0323

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.

NPI Registry JSON

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1770210437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202720",
            "telephone_number": "716-694-0323",
            "fax_number": "716-693-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 PAYNE AVE",
            "city": "NORTH TONAWANDA",
            "state": "NY",
            "postal_code": "141202720",
            "telephone_number": "716-694-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAESSER",
        "first_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S025906",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "070305I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.