Active NPI
Timothy-John Grainger-Rousseau, BPHARM, PHD, RPH
- Pharmacist
- Gainesville, FL
National Provider Identifier
1255521720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS32613
- Practice address
- 7430 SW Archer Rd
Gainesville, FL 32608-4610 - Phone
- (352) 374-2047
- NPI assigned
- Jul 30, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PS32613 | FL | Primary |
Addresses
Primary practice location
7430 SW Archer Rd
Gainesville, FL 32608-4610
Mailing address
7430 SW Archer Rd
Gainesville, FL 32608-4610
Phone (352) 347-2047
Other practice location 1
2303 SW 75th St
Gainesville, FL 32607-3565
Phone (386) 418-1444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PU8325 | Other | FL | CONSULTANT PHARMACIST |
| PS32613 | Other | FL | PHARMACIST |
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 Philosophy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS32613 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newberry Pharmacy Inc | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients | |
| Holiday CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Hitchcock's Pharmacy
- Community/Retail Pharmacy
- Newberry, FL
- NPI 1871664888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1255521720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084610",
"telephone_number": "352-347-2047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 SW ARCHER RD",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084610",
"telephone_number": "352-374-2047"
}
],
"practiceLocations": [
{
"address_1": "2303 SW 75th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326073565",
"country_code": "US",
"telephone_number": "386-418-1444",
"fax_number": "386-418-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAINGER-ROUSSEAU",
"first_name": "TIMOTHY-JOHN",
"name_prefix": "Dr.",
"credential": "BPHARM, PHD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-30",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS32613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSULTANT PHARMACIST",
"identifier": "PU8325",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "PS32613",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.