Michael Grant

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

00011965 Issued in CT

Legal business name

MICHAEL GRANT

Practice address

4 Daden LN
West Simsbury, CT 06092-2703

Phone

(860) 869-7251

NPI assigned

Sep 5, 2016

Last updated

Sep 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael K Grant, PHARM

Title

Pharmacist

Phone

(860) 869-7251

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aarti Kotecha, PHARMD

  • Pharmacist
  • Cheshire, CT
  • NPI 1073954764
  NPD (past)

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

{
    "created_epoch": "1473033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473033600000",
    "number": "1174070452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1492 HIGHLAND AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101287",
            "telephone_number": "631-843-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DADEN LN",
            "city": "WEST SIMSBURY",
            "state": "CT",
            "postal_code": "060922703",
            "telephone_number": "860-869-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL GRANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-05",
        "last_updated": "2016-09-05",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "860-869-7251",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CT",
            "license": "00011965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Inlow, DC
• Meesha Jemison, PMHNP-BC
• Tianna Georgia Kates-Matthew
• Sarah Jennie Lippincott, RD
• Gerald Mackinnon
• Sheri L Morris, MSW
• Michelle Angela Page, PHARMD
• Veronica Maria Przedworski, DMD
• Liza Rice
• Laura Rodenbusch

• Health Maintenance Organization in West Simsbury, CT
• Providers in West Simsbury, CT by specialty
• Health Maintenance Organization in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2016; 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.