Active NPI
Dawn Grittmann, PHARMD
- Pharmacist
- Clive, IA
National Provider Identifier
1932561297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20928
- Practice address
- 9849 Clark St
Clive, IA 50325-6415 - Phone
- (641) 777-2010
- NPI assigned
- Mar 25, 2016
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20928 | IA | Primary |
| Pharmacist | 183500000X | 118636 | MN |
Addresses
Primary practice location
9849 Clark St
Clive, IA 50325-6415
Mailing address
9849 Clark St
Clive, IA 50325-6415
Phone (641) 777-2010
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 |
|---|---|---|---|
| 20928 | IA | MD | Pharmacist |
| 118636 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1932561297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9849 CLARK ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256415",
"telephone_number": "641-777-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9849 CLARK ST",
"city": "CLIVE",
"state": "IA",
"postal_code": "503256415",
"telephone_number": "641-777-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRITTMANN",
"first_name": "DAWN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20928",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118636",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.