Elaine Marie Grant, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PHAP1269 Issued in AK

Practice address

786 D Street
Jber, AK 99505-9965

Phone

(907) 384-0610

Fax

(907) 384-8195

NPI assigned

Mar 10, 2022

Last updated

Mar 10, 2022By the provider in NPPES

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1104573039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 D STREET",
            "city": "JBER",
            "state": "AK",
            "postal_code": "99505",
            "telephone_number": "907-384-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 D STREET",
            "city": "JBER",
            "state": "AK",
            "postal_code": "995059965",
            "telephone_number": "907-384-0610",
            "fax_number": "907-384-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "ELAINE",
        "middle_name": "MARIE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "PHAP1269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip John Goebel, MD
• Rachelle Goebel
• Ciera Good
• Angela C Gookin, CNM
• Casey Granger, DNP
• Nicholas C Green, DPM
• Nathan Greene, PA-C
• Ryan Reynolds Haas, MD
• Jeffrey R Hall, DO
• Wilma Deanne Harpole, LCSW

• Pharmacist in Jber, AK
• Providers in Jber, AK by specialty
• Pharmacist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.