Active NPI
Kaitlyn Frances Grimley, PHARMD
- Pharmacist
- Vancouver, WA
National Provider Identifier
1881281178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH61323298
- Practice address
- 400 NE Mother Joseph PL
Vancouver, WA 98664-3200 - Phone
- (360) 514-2000
- NPI assigned
- Dec 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pharmacist | 183500000X | PH61323298 | WA | Primary |
Addresses
Primary practice location
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Mailing address
3706 NE 81St St
Vancouver, WA 98665-1146
Phone (360) 910-0508
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 |
|---|---|---|---|
| PH61323298 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1881281178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 NE 81ST ST",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986651146",
"telephone_number": "360-910-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 NE MOTHER JOSEPH PL",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986643200",
"telephone_number": "360-514-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIMLEY",
"first_name": "KAITLYN",
"middle_name": "FRANCES",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-21",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH61323298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.