SHAWN LEE GRUCELLA CPHT NPI 1144994088

NPI Information

  • NPI: 1144994088
  • Provider Name: SHAWN LEE GRUCELLA, CPHT
  • Classification: Pharmacy Technician - 183700000X
  • Entity Type: Individual
  • Address: 902 N CEDAR ST
    KALKASKA, MI
    ZIP 49646
  • Phone: (231) 258-2081

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NPI Details

Shawn Lee Grucella, CPHT is a pharmacy technician in Kalkaska, MI. The provider is a person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. Shawn Lee Grucella, CPHT NPI is 1144994088. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

902 N CEDAR ST
KALKASKA, MI
ZIP 49646-061
Phone: (231) 258-2081
Fax: (231) 258-5883

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183700000XPharmacy Technician5303028132MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15303028132OTHERMICHIGANSTATE CERTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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