Active NPI
Etti Grinberg, RPH
- Pharmacist
- Taunton, MA
National Provider Identifier
1811202518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH24951
- Practice address
- 175 Dean St
Taunton, MA 02780-2718 - Phone
- (508) 823-5270
- NPI assigned
- Aug 18, 2010
- Last updated
- Dec 21, 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 | PH24951 | MA | Primary |
Addresses
Primary practice location
175 Dean St
Taunton, MA 02780-2718
Mailing address
10 Hickory Way
Sharon, MA 02067-2355
Phone (781) 784-0650
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH24951 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1811202518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 HICKORY WAY",
"city": "SHARON",
"state": "MA",
"postal_code": "020672355",
"telephone_number": "781-784-0650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 DEAN ST",
"city": "TAUNTON",
"state": "MA",
"postal_code": "027802718",
"telephone_number": "508-823-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINBERG",
"first_name": "ETTI",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH24951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Taunton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.