Individual provider Active NPI

Aisha Grant, PHARMD

  • Pharmacist
  • Fort Pierce, FL
National Provider Identifier
1144046707
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS58338 Issued in FL
Practice address
825 Seaway Dr Ste 4
Fort Pierce, FL 34949-3122
Phone
(772) 306-0236
NPI assigned
Nov 28, 2024
Last updated
Nov 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS58338 FL Primary

Addresses

Primary practice location

825 Seaway Dr Ste 4
Fort Pierce, FL 34949-3122

Mailing address

14102 SW Safi Ter
Port Saint Lucie, FL 34987-5841
Phone (561) 360-6008

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS58338FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grantsky Ventures CurrentSince Dec 1, 2024 Accepting new patients

Locations

825 Seaway Dr
Ste 4
Fort Pierce, FL 34949
Phone (772) 306-0236

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1144046707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14102 SW SAFI TER",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349875841",
            "telephone_number": "561-360-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 SEAWAY DR STE 4",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349493122",
            "telephone_number": "772-306-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "AISHA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-28",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS58338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.