Active NPI
Hyacinth Grant
- Pharmacist
- Fuquay Varina, NC
National Provider Identifier
1538423751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20268
- Practice address
- 627 Cherry Plum CT
Fuquay Varina, NC 27526-2568 - Phone
- (919) 557-3625
- NPI assigned
- Jul 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20268 | NC | Primary |
| Pharmacist | 183500000X | PS22654 | FL |
Addresses
Primary practice location
627 Cherry Plum CT
Fuquay Varina, NC 27526-2568
Mailing address
627 Cherry Plum CT
Fuquay Varina, NC 27526-2568
Phone (919) 557-3625
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS22654 | FL | MD | Pharmacist |
| 20268 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1538423751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "627 CHERRY PLUM CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262568",
"telephone_number": "919-557-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 CHERRY PLUM CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262568",
"telephone_number": "919-557-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "HYACINTH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-02",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20268",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS22654",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.