Crystal Cierra Graves, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42323 Issued in SC

Practice address

1 Windsor CV Ste 306-2
Columbia, SC 29223-1833

Phone

(843) 624-3647

NPI assigned

Sep 12, 2018

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Graves Family Pharmacy and Clinic

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1780156596
  NPD Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1013490390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 JEFFERSON DR APT F",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295015357",
            "telephone_number": "843-624-3647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINDSOR CV STE 306-2",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231833",
            "telephone_number": "843-624-3647"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 2nd Loop Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295016189",
            "country_code": "US",
            "telephone_number": "843-667-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "CRYSTAL",
        "middle_name": "CIERRA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula Lanette Grantham, R.D.H.
• Tomeka Grate-Taylor
• Graves Family Pharmacy and Clinic
• Alena Mae Graves, DMD
• Bryan Graves
• Jaclyn Marie Gravis, FNP
• Justin Robert Gravis, CRNA
• Valencia Giselle Gray-Williams, PHARM.D.
• Allyson Gray
• Carlotta Juliana Gray, APRN

• Pharmacist in Columbia, SC
• Providers in Columbia, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.