Active NPI
Brandi Michelle Grist, PHARMD
- Pharmacist
- Mount Holly, NC
National Provider Identifier
1649558404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21802
- Practice address
- 125 W Central Ave
Mount Holly, NC 28120-1616 - Phone
- (704) 827-2211
- NPI assigned
- Jul 28, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21802 | NC | Primary |
Addresses
Primary practice location
125 W Central Ave
Mount Holly, NC 28120-1616
Mailing address
125 W Central Ave
Mount Holly, NC 28120-1616
Phone (704) 827-2211
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21802 | NC | MD | Pharmacist |
Interoperability endpoints
- brandi.grist@direct.moosepharmacy.nchie.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1649558404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 W CENTRAL AVE",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281201616",
"telephone_number": "704-827-2211",
"fax_number": "704-827-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 W CENTRAL AVE",
"city": "MOUNT HOLLY",
"state": "NC",
"postal_code": "281201616",
"telephone_number": "704-827-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIST",
"first_name": "BRANDI",
"middle_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-28",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Holly, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.