Active NPI
Wilson Aaron Grant, RPH
- Pharmacist
- Aiken, SC
National Provider Identifier
1366740565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH 4362
- Practice address
- 943 Pine Log Rd
Aiken, SC 29803-7330 - Phone
- (803) 648-2366
- Fax
- (803) 648-9048
- NPI assigned
- Mar 11, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH 4362 | SC | Primary |
| Pharmacist | 183500000X | RPH011309 | GA |
Addresses
Primary practice location
943 Pine Log Rd
Aiken, SC 29803-7330
Mailing address
943 Pine Log Rd
Aiken, SC 29803-7330
Phone (803) 648-2366
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 |
|---|---|---|---|
| RPH011309 | GA | MD | Pharmacist |
| PH 4362 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299801600000",
"number": "1366740565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 PINE LOG RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037330",
"telephone_number": "803-648-2366",
"fax_number": "803-648-9048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 PINE LOG RD",
"city": "AIKEN",
"state": "SC",
"postal_code": "298037330",
"telephone_number": "803-648-2366",
"fax_number": "803-648-9048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "WILSON",
"middle_name": "AARON",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-11",
"last_updated": "2011-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "PH 4362",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH011309",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.