Individual provider Active NPI

Malik Rashaad Graves, PHARMD

  • Pharmacist
  • Culpeper, VA
National Provider Identifier
1447013867
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202221811 Issued in VA
Practice address
150 Madison Rd
Culpeper, VA 22701-3405
Phone
(540) 825-8322
NPI assigned
Jan 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202221811 VA Primary

Addresses

Primary practice location

150 Madison Rd
Culpeper, VA 22701-3405

Mailing address

28391 Laurel Canyon Blvd
Rhoadesville, VA 22542-9092
Phone (540) 522-8356

Other practice location 1

720 Round Hill Dr
Orange, VA 22960-2240
Phone (540) 672-0872

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0202221811VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1447013867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28391 LAUREL CANYON BLVD",
            "city": "RHOADESVILLE",
            "state": "VA",
            "postal_code": "225429092",
            "telephone_number": "540-522-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MADISON RD",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013405",
            "telephone_number": "540-825-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Round Hill Dr",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "VA",
            "postal_code": "229602240",
            "country_code": "US",
            "telephone_number": "540-672-0872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "MALIK",
        "middle_name": "RASHAAD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202221811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.