Active NPI
Michael David Grindstaff, PHARM.D.
- Pharmacist
- Loganville, GA
National Provider Identifier
1922018720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16102
- Practice address
- 4480 Atlanta Hwy
Loganville, GA 30052-7313 - Phone
- (770) 554-4031
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16102 | GA | Primary |
Addresses
Primary practice location
4480 Atlanta Hwy
Loganville, GA 30052-7313
Mailing address
2110 Prickly Pear Walk
Lawrenceville, GA 30043-6374
Phone (770) 995-8309
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 |
|---|---|---|---|
| 16102 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922018720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 PRICKLY PEAR WALK",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300436374",
"telephone_number": "770-995-8309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527313",
"telephone_number": "770-554-4031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRINDSTAFF",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.