Grant County Drugs-North

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07334 Issued in KY

Legal business name

GRANT COUNTY DRUGS-NORTH

Doing business as

Grant County Drugs - North

Practice address

375 Violet Rd
Crittenden, KY 41030-8535

Phone

(859) 428-3784

Fax

(859) 428-0595

NPI assigned

Mar 24, 2009

Last updated

May 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Jason Wallace, PHARM.D.,R.PH

Title

Owner/Pharmacist

Phone

(859) 823-5271

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Grant County Drugs - North Doing business as

Tax ID family

Grant County Drugs-North2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J Wallace LLC

  dba Grant County Drugs Williamstown

  • Community/Retail Pharmacy
  • Williamstown, KY
  • NPI 1184728149
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melissa C Vice, PHARMD

  • Pharmacist
  • Dry Ridge, KY
  • NPI 1316522444
  NPD
• Julie A Crouch, PHARMD

  • Pharmacist
  • Cincinnati, OH
  • NPI 1003401597
  NPD

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1306088240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S MAIN ST",
            "address_2": "P.O. BOX 106",
            "city": "DRY RIDGE",
            "state": "KY",
            "postal_code": "410357329",
            "telephone_number": "859-823-5271",
            "fax_number": "859-428-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 VIOLET RD",
            "city": "CRITTENDEN",
            "state": "KY",
            "postal_code": "410308535",
            "telephone_number": "859-428-3784",
            "fax_number": "859-428-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT COUNTY DRUGS-NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "859-823-5271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D.,R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100068010",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant County Drugs - North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Lynn Colston
• Christopher Duckworth, BA
• Suzanne Michelle Fernbach, PA-C
• Richard Flesch, MS,AUTONMOUS FUNCTIO
• Foot Specialists of Greater Cincinnati
• Grant Pharmacist Group Inc (Total Care Pharmacy #4)
• Grant Pharmacist Group Inc (Total Care Pharmacy #4)
• Grant Pharmacists Group (Total Care Pharmacy#4)
• Joseph Edward Hartig, MD
• Healing Roots Therapy Services

• Community/Retail Pharmacy in Crittenden, KY
• Providers in Crittenden, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.