Mitch Graumenz, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

2011021856 Issued in MO

Practice address

212 Millwell Dr
Suite a
Maryland Heights, MO 63043-2512

Phone

(314) 727-8787

NPI assigned

Oct 25, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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.

• Legacy Drugstore LLC

  • Long Term Care Pharmacy
  • Wright City, MO
  • NPI 1316594328
  NPD Authorized official
• Legacy Drugstore 2, LLC

  • Community/Retail Pharmacy
  • Warrenton, MO
  • NPI 1295260818
  NPD
• Legacy Drugstore LLC

  • Community/Retail Pharmacy
  • Wright City, MO
  • NPI 1396291837
  NPD

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

{
    "created_epoch": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1790061596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MILLWELL DR",
            "address_2": "SUITE A",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432512",
            "telephone_number": "314-727-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MILLWELL DR",
            "address_2": "SUITE A",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432512",
            "telephone_number": "314-727-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAUMENZ",
        "first_name": "MITCH",
        "name_prefix": "Dr.",
        "credential": "PHARM. D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-25",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011021856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariaimee Gonzalez, PLPC
• Christine R Gottman, A.N.P.
• Breanne Marie Gould, PA-C
• Erin Kathleen Gould, M.S.E., LPC
• Mitzie E Graeler, RN, CPNP
• Great Strides Behavioral Consulting, Inc.
• Amanda Beth Griffin, LPC
• Paul F Grim III, MD
• Gary Marvin Guebert, D.C.
• Colleen O'Keefe Gund, MSPTPCS

• Pharmacist in Maryland Heights, MO
• Providers in Maryland Heights, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.