Farris D Gransberry Jr., PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH021895 Issued in GA

Practice address

505 Glen Ivy
Marietta, GA 30062-9405

Phone

(404) 422-5400

NPI assigned

Nov 20, 2011

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.

• Comprehensive Healthcare Management

  • Managed Care Organization Pharmacy
  • Marietta, GA
  • NPI 1174890081
  NPD (past) Authorized official

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1427325331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GLEN IVY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629405",
            "telephone_number": "404-422-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 GLEN IVY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300629405",
            "telephone_number": "404-422-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANSBERRY",
        "first_name": "FARRIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Granato
• Amanda Granberg
• Grander Home Care
• Debbie Granger, DDS
• James R Granger III, MD
• Mark Timothy Grant, D.C.
• Tiffany Janelle Grant, LCSW
• Anthony Grasso, M.D.
• William Shaun Grate, DMD
• John D Grattan-Smith, MD

• Pharmacist in Marietta, GA
• Providers in Marietta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.