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

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.

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

LicenseStateTypeSpecialty
070940NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wegmans Food Markets, Inc. Past
since Sep 1, 2024
Accepting new patients
Wegmans Food Markets, Inc. Past
since Sep 1, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 28, 2024.

{
    "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

All providers in Blasdell, NY · Pharmacist in New York

Sources for this page

Verify at the official NPI Registry.