Active NPI
Janet Eileen Granger, RPH
- Pharmacist
- Centralia, WA
National Provider Identifier
1053602748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00009613
- Practice address
- 1200 Harrison Ave
Centralia, WA 98531-1853 - Phone
- (360) 807-2014
- Fax
- (360) 807-2053
- NPI assigned
- Apr 28, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00009613 | WA | Primary |
Addresses
Primary practice location
1200 Harrison Ave
Centralia, WA 98531-1853
Mailing address
428 Newaukum Valley Rd
Chehalis, WA 98532-8864
Phone (360) 740-8210
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00009613 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1053602748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 NEWAUKUM VALLEY RD",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985328864",
"telephone_number": "360-740-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HARRISON AVE",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985311853",
"telephone_number": "360-807-2014",
"fax_number": "360-807-2053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANGER",
"first_name": "JANET",
"middle_name": "EILEEN",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00009613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.