Organization Active NPI

Grannick Pharmacy, Inc.

  • Pharmacy
  • Greenwich, CT
National Provider Identifier
1184792871
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
728 Issued in CT
Legal business name
GRANNICK PHARMACY, INC.
Practice address
277 Greenwich Ave
Greenwich, CT 06830-6503
Phone
(203) 869-3492
Fax
(203) 625-5590
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Evan C Grannick
Title
Owner
Phone
(203) 869-3492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 728 CT Primary

Addresses

Primary practice location

277 Greenwich Ave
Greenwich, CT 06830-6503

Mailing address

277 Greenwich Ave
Greenwich, CT 06830-6503
Phone (203) 869-3492

Other names 1

  • Grannick's Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

277 Greenwich Ave
Greenwich, CT 06830
Phone (203) 869-3492

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1184792871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306503",
            "telephone_number": "203-869-3492",
            "fax_number": "203-625-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306503",
            "telephone_number": "203-869-3492",
            "fax_number": "203-625-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNICK PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "GRANNICK",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-869-3492",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grannick's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.