Active NPI
Kristen Gruis, PHARM D
- Pharmacist
- Sioux Falls, SD
National Provider Identifier
1992189476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 122326
- Practice address
- 2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746 - Phone
- (605) 367-2000
- NPI assigned
- Jul 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 22509 | IA | |
| Pharmacist | 183500000X | 122326 | MN | Primary |
Addresses
Primary practice location
2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746
Mailing address
2701 S Minnesota Ave Ste 1
Sioux Falls, SD 57105-4746
Phone (605) 367-2000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22509 | Other | IA | PHARMACIST STATE LICENSE |
| 122326 | Other | MN | PHARMACIST STATE LICENSE |
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 |
|---|---|---|---|
| 22509 | IA | MD | Pharmacist |
| 122326 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436918400000",
"number": "1992189476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 S MINNESOTA AVE STE 1",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054746",
"telephone_number": "605-367-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 S MINNESOTA AVE STE 1",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054746",
"telephone_number": "605-367-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUIS",
"first_name": "KRISTEN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-15",
"last_updated": "2015-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22509",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "122326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LICENSE",
"identifier": "22509",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LICENSE",
"identifier": "122326",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.