Granger Genetics, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

GRANGER GENETICS, LLC

Doing business as

Granger Pharmacy

Practice address

601 Biotech Dr Ste 156
North Chesterfield, VA 23235-5167

Phone

(804) 521-7384

NPI assigned

Mar 31, 2021

Organization subpart

Yes

Parent organization

GRANGER GENETICS, LLCAs reported in NPPES

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

Authorized official

Name

Cynthia Daniels

Title

Director of Operations

Phone

(804) 521-7392

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Granger Pharmacy Doing business as

Tax ID family

Granger Genetics LLC2 organizations share this tax ID, including this one

Part of

Granger Genetics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Granger Genetics, LLC

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1740631605
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Granger Genetics LLC

  • Clinical Medical Laboratory
  • North Chesterfield, VA
  • NPI 1295190635
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philip Wong, PHARM.D.

  • Pharmacist
  • North Chesterfield, VA
  • NPI 1386092328
  NPD

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1689252744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BIOTECH DR STE 156",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355167",
            "telephone_number": "804-521-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BIOTECH DR STE 156",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355167",
            "telephone_number": "804-521-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANGER GENETICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANGER GENETICS, LLC",
        "enumeration_date": "2021-03-31",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "804-521-7392"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689252744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Granger Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace'S Hope LLC
• Andrea Grady, LMT
• Lakeisha Graham, MSN, RN, NBC-HWC
• Grandeur Transportation LLC
• Granger Genetics LLC
• Nicholas Lee Grant, CRNA
• Adrian Grantz
• Matthew Seth Graupman, P.A.-C
• Robert Graves
• Phillip Ryan Gray, PHARMD.

• Compounding Pharmacy in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Compounding Pharmacy in Virginia

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