Cheyanne Rose Grant, PHARMD
Individual provider Active NPI Pharmacist · Blasdell, NY
NPI 1497589980 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1497589980
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 070940 (NY)
- Practice address
- 3740 McKinley Pkwy
Blasdell, NY 14219-3097 - Phone
- (716) 824-8013
- NPI assigned
- Aug 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070940 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wegmans Food Markets, Inc. | Past |
Accepting new patients | |
| Wegmans Food Markets, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 070940 | NY | Yes |
Addresses
Primary practice location
3740 McKinley Pkwy
Blasdell, NY 14219-3097
Mailing address
358 Clinton St
Cowlesville, NY 14037-9747
Phone (716) 912-1445
Other names
- Cheyanne Rose Karalus
NPI Registry JSON
{
"created_epoch": "1724803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1497589980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "358 CLINTON ST",
"city": "COWLESVILLE",
"state": "NY",
"postal_code": "140379747",
"telephone_number": "716-912-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 MCKINLEY PKWY",
"city": "BLASDELL",
"state": "NY",
"postal_code": "142193097",
"telephone_number": "716-824-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "CHEYANNE",
"middle_name": "ROSE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-28",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "070940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHEYANNE",
"last_name": "KARALUS",
"middle_name": "ROSE",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blasdell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.