Active NPI
Gary Stephen Granat
- Pharmacist
- Sylvan Lake, MI
National Provider Identifier
1699361097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 628
- Practice address
- 2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651 - Phone
- (248) 302-4122
- NPI assigned
- Dec 19, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 628 | MI | Primary |
Addresses
Primary practice location
2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651
Mailing address
2387 Orchard Lake Rd
Sylvan Lake, MI 48320-1651
Phone (248) 302-4122
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608336000000",
"number": "1699361097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2387 ORCHARD LAKE RD",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201651",
"telephone_number": "248-302-4122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2387 ORCHARD LAKE RD",
"city": "SYLVAN LAKE",
"state": "MI",
"postal_code": "483201651",
"telephone_number": "248-302-4122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANAT",
"first_name": "GARY",
"middle_name": "STEPHEN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-19",
"last_updated": "2020-12-19",
"certification_date": "2020-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sylvan Lake, MI
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- Aisha Cunningham
- Deaf Community Advocacy Network, Inc. (Deaf C.a.N.)
- Kristen M. Delange, MS, LPC, NCC, CAADC
- Carol Jane Diskin, MSW
- Ashok Gupta, M.D.
- Healing Hands Urgent Care Medical Clinic PC
- Healing Hands Urgent Care Medical Clinic PC
- Venette Rhea Hysmith, MT
- Renee Kuza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.