Andrea Grana, PHARMD
Individual provider Active NPI Pharmacist · Phoenix, AZ
NPI 1558024299 · NPPES record last updated Oct 19, 2021
Key facts
- NPI
- 1558024299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- S025484 (AZ)
- Practice address
- 3440 W Glendale Ave
Phoenix, AZ 85051-8323 - Phone
- (602) 336-4590
- NPI assigned
- Oct 19, 2021
- 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 |
|---|---|---|---|
| S025484 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past |
Accepting new patients | |
| Arizona CVS Stores LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S025484 | AZ | Yes |
Addresses
Primary practice location
3440 W Glendale Ave
Phoenix, AZ 85051-8323
Mailing address
5151 N 95TH Ave Apt 1020
Glendale, AZ 85305-3059
Phone (602) 446-1969
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2021. 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.