Jonathan Grayson, PHARM.D

Individual provider Active NPI Pharmacist · Oak Ridge, NC

NPI 1265837231 · NPPES record last updated Nov 3, 2014

Key facts

NPI
1265837231
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
23848 (NC)
Practice address
2300 NC-150
Oak Ridge, NC 27310-0000
Phone
(336) 644-6384
NPI assigned
Nov 3, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
23848NCMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23848 NC Yes

Addresses

Primary practice location

2300 NC-150
Oak Ridge, NC 27310-0000

Mailing address

2300 HW 150
Oak Ridge, NC 27310-0000
Phone (336) 644-6384

Other providers in Oak Ridge, NC

All providers in Oak Ridge, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.