Grant Michael Walliser, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

03-2-27908 Issued in OH

Practice address

111 S Grant Ave
Columbus, OH 43215-4701

Phone

(614) 566-9053

NPI assigned

Jul 19, 2007

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

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1699975680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 BRANSCOM BLVD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819300",
            "telephone_number": "614-563-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154701",
            "telephone_number": "614-566-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLISER",
        "first_name": "GRANT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-2-27908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Wallihan, MD
• Jay Marvin Wallin, M.D.
• Justina Wallin
• Jeffrey Jay Walline, OD, PHD
• Brittany Walling, MPH
• Anastasia Walls
• Dominique A Walls, MSW, LSW
• Kristin M Walls, DPT
• Renee Walls
• Scott William Walls, PA-C

• Pharmacist in Columbus, OH
• Providers in Columbus, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.