IndividualActive
Judy Gravenhorst
NPI 1114557964 · Pharmacist · Wabash, IN
Judy Gravenhorst is a Pharmacist provider in Wabash, IN (NPI 1114557964).
Provider details
- NPI number
- 1114557964
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26024890A (IN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1309 N Cass St
Wabash, IN 46992-1029
Phone: (260) 563-1612
Street-level locationGet directions
Mailing address
Po Box 334
Roanoke, IN 46783-0334
Registry dates
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
- Certified
- 2020-01-21
Frequently asked questions
- What is Judy Gravenhorst's NPI number?
- Judy Gravenhorst's National Provider Identifier (NPI) is 1114557964, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Judy Gravenhorst's specialty?
- Judy Gravenhorst is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Judy Gravenhorst located?
- Judy Gravenhorst's practice location on file with NPPES is 1309 N Cass St, Wabash, IN 46992-1029.
- What is Judy Gravenhorst's phone number?
- The practice phone number listed in the NPPES registry for Judy Gravenhorst is (260) 563-1612.
- Is Judy Gravenhorst's NPI active?
- Yes — Judy Gravenhorst's NPI (1114557964) is active in the NPPES registry as of the last update on 2020-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.