Grandin Pharmacy LLC

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

0201004016 Issued in VA

Legal business name

GRANDIN PHARMACY LLC

Practice address

1327 Grandin Rd SW
Roanoke, VA 24015-2315

Phone

(540) 777-3403

Fax

(540) 777-3406

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles West, RPH

Title

Owner

Phone

(540) 774-5500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• West Pharmacy Grandin Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1649285263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152315",
            "telephone_number": "540-777-3403",
            "fax_number": "540-777-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152315",
            "telephone_number": "540-777-3403",
            "fax_number": "540-777-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDIN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-774-5500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "VA",
            "license": "0201004016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "4838578",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010142547",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pharmacy Grandin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Faye Graham
• Karla A Graham, COTA
• Sarah Graham
• Howard B Graman, MD
• Grandin Family Dentistry
• Jennifer Campbell Grant, PA-C
• Sherry Louella Williams Grant, PHARMD
• Graphic Reading Group PC
• Grateful Journey LLC
• Allyson Rae Gray, LPN

• Pharmacotherapy Pharmacist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Pharmacotherapy Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.