Marjorie Karen Graham

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH014977 Issued in GA

Practice address

2055 E Victory Dr
Savannah, GA 31404-3716

Phone

(912) 352-0303

NPI assigned

Sep 20, 2022

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia CVS Pharmacy LLC

  dba CVS Pharmacy # 04261

  • Pharmacy
  • Savannah, GA
  • NPI 1124121876
  NPD

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1790408243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 COLUMBUS DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054306",
            "telephone_number": "912-429-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 E VICTORY DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314043716",
            "telephone_number": "912-352-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "MARJORIE",
        "middle_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "Y",
            "affiliationName": "CVS/Caremark Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2055 E Victory Dr",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314043716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• C. Thomas Graham, D.M.D.
• Carlos Devone Graham, MSW, LCSW
• Kelly Graham
• Kristen Graham
• Mallory Graham, PHARMD
• Sarah S Graham, CRNA
• Shanika Graham, FNP-BC
• Sonia Graham
• Summer Granado, PMHNP
• Richard Pomeroy Granse, MD

• Pharmacist in Savannah, GA
• Providers in Savannah, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.