Active NPI
John Grigg, RPH
- Pharmacist
- Yucca Valley, CA
National Provider Identifier
1245580919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36599
- Practice address
- 57590 29 Palms Hwy
Yucca Valley, CA 92284-2934 - Phone
- (760) 365-0651
- Fax
- (760) 365-9078
- NPI assigned
- Sep 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36599 | CA | Primary |
Addresses
Primary practice location
57590 29 Palms Hwy
Yucca Valley, CA 92284-2934
Mailing address
57590 29 Palms Hwy
Yucca Valley, CA 92284-2934
Phone (760) 365-0651
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36599 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vons Companies Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Santa Monica, CA
- NPI 1720879919
-
- Community/Retail Pharmacy
- Yucca Valley, CA
- NPI 1912933797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1245580919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57590 29 PALMS HWY",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842934",
"telephone_number": "760-365-0651",
"fax_number": "760-365-9078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57590 29 PALMS HWY",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842934",
"telephone_number": "760-365-0651",
"fax_number": "760-365-9078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIGG",
"first_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "36599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.