Judy Marie Gravenhorst

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

03440940 Issued in OH

Practice address

7545 Sylvania Ave
Sylvania, OH 43560-9735

Phone

(419) 841-6468

NPI assigned

Jan 21, 2020

Sex

Female

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

Practice roles

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.

• The Kroger Co

  • Community/Retail Pharmacy
  • Sylvania, OH
  • NPI 1639194343
  NPD (past)
• Kroger Co

  • Community/Retail Pharmacy
  • Bethlehem, GA
  • NPI 1154294205
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  • Community/Retail Pharmacy
  • Wabash, IN
  • NPI 1700959228
  NPD (past)

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1114557964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7545 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609735",
            "telephone_number": "419-841-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 SYLVANIA AVE",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609735",
            "telephone_number": "419-841-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVENHORST",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-21",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03440940",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OH",
            "license": "03440940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara J Graber, MD
• Grace Comfort Healthcare LLC
• Andrew Graham, PT
• Susanna Graham, OTR/L
• Jennifer Grant, DNP, AGPCNP-BC
• Katina Gray
• Richelle Louise Gray, OTD, OTR/L
• Kimberly Graziano
• Dominique Green, QMHS
• Latanya Green

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.