Christine B Groth, RPH, CDM

Primary specialty

PharmacistTaxonomy code 183500000X

License

9960 Issued in WI

Practice address

600 Walnut Ridge Dr
Hartland, WI 53029-9385

Phone

(262) 369-7080

Fax

(262) 369-7081

NPI assigned

Oct 24, 2007

Sex

Female

Sole proprietor

No

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1972792182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 RENSON RD",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530291826",
            "telephone_number": "262-367-4788",
            "fax_number": "262-369-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WALNUT RIDGE DR",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530299385",
            "telephone_number": "262-369-7080",
            "fax_number": "262-369-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROTH",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RPH, CDM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "9960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Goldenstein, PT
• Veena V Gonuguntla, MD
• Kelly M Grandlich
• Grant a. Lemke D.D.S., S.C.
• Bradley James Groff, RN
• Jacob Wilhelm Hagmayer, DDS
• Hans J Halaska, D.C.
• Kirk Hanson, D.O.
• Hartland Family Chiropractic, LLC
• Hartland Lakeside JT. Dist. #3

• Pharmacist in Hartland, WI
• Providers in Hartland, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.