Mario Rene Granillo, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

10565 Issued in AZ

Practice address

839 W Congress St
Tucson, AZ 85745-2819

Phone

(520) 205-4996

Fax

(520) 670-3842

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1285627034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 N DIAMOND BUTTE WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857457128",
            "telephone_number": "520-591-0252",
            "fax_number": "520-670-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-205-4996",
            "fax_number": "520-670-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANILLO",
        "first_name": "MARIO",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "10565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Granger, M.D.
• Angelica Marie Granillo, FNP-C
• Christopher M Granillo, DDS
• Erica Granillo
• Mario Granillo
• Shona Granillo, M.S.
• Soledad A Granillo, PHARMACIST
• Per Granstrom, MD
• Grant and Tanque Verde Dental LLC (Grant and Tanque Verde Dental)
• Grant Dmso LLC (Wellness Dental)

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.