Jeffrey Daniel Grom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S019242 Issued in AZ

Practice address

8623 W Bryn Mawr Ave Ste 504
Chicago, IL 60631-3525

Phone

(872) 264-5673

Fax

(773) 364-1802

NPI assigned

Jul 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Cordant Pharmacy Illinois, LLC

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1952909632
  NPD

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1649525023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 W BRYN MAWR AVE STE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313525",
            "telephone_number": "872-264-5673",
            "fax_number": "773-364-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 W BRYN MAWR AVE STE 504",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313525",
            "telephone_number": "872-264-5673",
            "fax_number": "773-364-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROM",
        "first_name": "JEFFREY",
        "middle_name": "DANIEL",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy S Groessl, PHD, LCSW
• Joy Grohar, MS CNM
• Stephen Michael Grohmann, M.D.
• Janet M Groll, OTRL
• Mary Elizabeth Groll, M.D.
• Alexandria Gromala, PA-C
• Lori Ann Gromen, M.A. CCC-SLP
• Charles Gordon Gronau II, ACSM EP-C
• Jessica Nicole Gronke
• Lauren Ann Gronowski, DROT, OTR/L

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.