Active NPI
Grant Pharmacist Group Inc
- Community/Retail Pharmacy
- Dry Ridge, KY
National Provider Identifier
1790899771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P07272
- Legal business name
- GRANT PHARMACIST GROUP INC
- Practice address
- 40 Broadway St
Dry Ridge, KY 41035-9762 - Phone
- (859) 823-0200
- Fax
- (859) 823-4500
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Fronk, PHRMD
- Title
- Partner
- Phone
- (606) 845-3421
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | P07272 | KY | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Managed Care Organization Pharmacy | 3336M0003X | |||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
40 Broadway St
Dry Ridge, KY 41035-9762
Mailing address
40 Broadway St
Dry Ridge, KY 41035-9762
Phone (859) 823-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2034093 | Other | PK | |
| 7100055140 | Medicaid | KY |
Other names 1
- TOTAL CARE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111027000250 | KY | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547460057 |
1 other NPI on this enrollment Practice locations: Crittenden, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Crittenden, KY
- NPI 1427214253
0547460057
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Crittenden, KY
- NPI 1427214253
O20111027000250
National Provider Directory
National Provider DirectoryLocations
40 Broadway St
Dry Ridge, KY 41035
Phone (859) 823-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1421366400000",
"number": "1790899771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BROADWAY ST",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "410359762",
"telephone_number": "859-823-0200",
"fax_number": "859-823-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 BROADWAY ST",
"city": "DRY RIDGE",
"state": "KY",
"postal_code": "410359762",
"telephone_number": "859-823-0200",
"fax_number": "859-823-4500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT PHARMACIST GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-18",
"last_updated": "2015-01-16",
"status": "A",
"authorized_official_last_name": "FRONK",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "606-845-3421",
"authorized_official_credential": "PHRMD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "KY",
"license": "P07272",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Managed Care Organization Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2034093",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100055140",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TOTAL CARE PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dry Ridge, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.