Matthew S Grisik, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-3-21664 Issued in OH

Practice address

3105 Woodvale CT
Alpharetta, GA 30022-1923

Phone

(770) 475-2759

NPI assigned

Mar 18, 2010

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1164746277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 WOODVALE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221923",
            "telephone_number": "770-475-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 WOODVALE CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221923",
            "telephone_number": "770-475-2759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISIK",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025008",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-21664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Wood Grimsley, CRNA
• John Lee Grimwood, M.D.
• Pavel Grinchuk
• Timothy Griner, M.D.
• Michelle Marie Grinkewich, ATC
• Stephanie S. Grogan, M.D.
• Hannah N Gronholm, M.ED.
• Malachi Hampton Groover, DO
• Troy Alan Groover, D.O.
• Mary W Gros, LMT

• Pharmacist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.