Matthew Grossman
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Kendallville, IN
NPI 1750928537 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1750928537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 26022038A (IN)
- Practice address
- 310 W North St
Kendallville, IN 46755-1004 - Phone
- (260) 347-9177
- NPI assigned
- Nov 29, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26022038A | IN | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 26022038A | IN | Yes |
Addresses
Primary practice location
310 W North St
Kendallville, IN 46755-1004
Mailing address
310 W North St
Kendallville, IN 46755-1004
Phone (260) 347-9177
Other providers in Kendallville, IN
- Christopher P. Frazier
- Jessica Gardner
- Genoa Healthcare LLC
- Kalee Givens
- Ruth Gordon
- Sonia Hall
- Nicole Lee Hamer
- Harrison County Hospital
- Catherine Hause
- Amber Hays
All providers in Kendallville, IN · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.