Grayson Norman Schenk

Primary specialty

PharmacistTaxonomy code 183500000X

License

P6641 Issued in ID

Practice address

2100 12TH Ave Rd
Nampa, ID 83686-6441

Phone

(208) 467-5159

Fax

(208) 467-5447

NPI assigned

May 3, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1104315225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2832 W TENUTA ST",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463230",
            "telephone_number": "208-201-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866441",
            "telephone_number": "208-467-5159",
            "fax_number": "208-467-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "GRAYSON",
        "middle_name": "NORMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-03",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P6641",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "18143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Schafer, PHARMD
• Ellie Schanbacher
• Kristin Schecter
• Athena Maria Scheidegger, M.COUN
• Kristyn A Schelhaas, D.O.
• Avery Magdalena Schick
• Alexander Schloss
• Carmen M Schmidt, PT
• Julie Lynnette Schmidt, LMSW
• Paul Michael Schmillen, ND

• Pharmacist in Nampa, ID
• Providers in Nampa, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; 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.