Active NPI
Grady Steven Upshaw II, PHARMD
- Oncology Pharmacist
- North Little Rock, AR
National Provider Identifier
1851071773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- PD16665
- Practice address
- 3400 Springhill Dr
North Little Rock, AR 72117-2923 - Phone
- (501) 603-8894
- Fax
- (501) 907-8354
- NPI assigned
- Jul 25, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | PD16665 | AR | Primary |
Addresses
Primary practice location
3400 Springhill Dr
North Little Rock, AR 72117-2923
Mailing address
3400 Springhill Dr
North Little Rock, AR 72117-2923
Phone (501) 603-8894
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD16665 | AR | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1851071773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 SPRINGHILL DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172923",
"telephone_number": "501-603-8894",
"fax_number": "501-907-8354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SPRINGHILL DR",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721172923",
"telephone_number": "501-603-8894",
"fax_number": "501-907-8354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPSHAW",
"first_name": "GRADY",
"middle_name": "STEVEN",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-25",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "AR",
"license": "PD16665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas for Medical Sciences
- University of Arkansas School of Medical Sciences
- Jeremy Michael Ussery, CRNA
- Usv Optical Inc
- Melissa Ann Vail, PHARMD
- Jaahnavi Vajje, MD
- Nyla Valley
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.