Active NPI
Shasta Grotewiel, PHARM.D.
- Pharmacist
- North Charleston, SC
National Provider Identifier
1912412628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 37371
- Practice address
- 7250 Rivers Ave
North Charleston, SC 29406-4625 - Phone
- (843) 572-8918
- NPI assigned
- Dec 5, 2017
- 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 | 37371 | SC | Primary |
Addresses
Primary practice location
7250 Rivers Ave
North Charleston, SC 29406-4625
Mailing address
5329 Deep Blue LN
North Charleston, SC 29418-2647
Phone (919) 903-5780
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 |
|---|---|---|---|
| 37371 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512432000000",
"number": "1912412628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5329 DEEP BLUE LN",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294182647",
"telephone_number": "919-903-5780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7250 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064625",
"telephone_number": "843-572-8918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROTEWIEL",
"first_name": "SHASTA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-05",
"last_updated": "2017-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "37371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.