Mariley M Grindell

Primary specialty

PharmacistTaxonomy code 183500000X

License

47251 Issued in TX

Practice address

2245 Jacksboro Hwy
Fort Worth, TX 76114-2319

Phone

(817) 569-6241

Fax

(817) 569-6242

NPI assigned

Nov 5, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1902407885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 GREENWOOD DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760535323",
            "telephone_number": "817-449-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 JACKSBORO HWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761142319",
            "telephone_number": "817-569-6241",
            "fax_number": "817-569-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRINDELL",
        "first_name": "MARILEY",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Grimes
• Rachel Grimes, LCSW
• Susan Loraine Grimes, COTA
• Whitney Grimes, RD/LD
• Amanda M Grimsley
• Parker Eli5 Grisham, M.S., SLP INTERN
• Shandy Grisham, RN, FNP
• Carla Grissett
• Danieta Kay Grissman, PTA
• David B Grissom, MD

• Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.