Blake Graham, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302411721 Issued in MI

Practice address

325 W Atherton Rd
Flint, MI 48507-2601

Phone

(855) 768-9727

NPI assigned

Feb 18, 2025

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

State licenses

Practice roles

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.

• Optum Frontier Therapies LLC

  • Community/Retail Pharmacy
  • Flint, MI
  • NPI 1922181650
  NPD (past)

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1407651979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4496 OAK ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393449",
            "telephone_number": "810-922-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W ATHERTON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072601",
            "telephone_number": "855-768-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "BLAKE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GPS of Michigan LLC
• Kristen Grabarkiewicz
• Grace Consulting Systems Inc.
• Gracious Hands Homehealthcare
• Allyson Suzanne Graham, DPT
• James Ewell Graham Jr., MD
• Meranda Graham, LPN
• Porsha Nicole Graham
• Ruby Grandberry
• Erika Marie Grant, PSYD

• Pharmacist in Flint, MI
• Providers in Flint, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.