Active NPI
Gary William Grant, RPH
- Pharmacist
- Newport News, VA
National Provider Identifier
1942841762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202007482
- Practice address
- 13349 Warwick Blvd
Newport News, VA 23602-5601 - Phone
- (757) 877-0253
- Fax
- (757) 872-9247
- NPI assigned
- Oct 2, 2019
- 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 | 0202007482 | VA | Primary |
Addresses
Primary practice location
13349 Warwick Blvd
Newport News, VA 23602-5601
Mailing address
730 Casey Ter
Newport News, VA 23601-4630
Phone (757) 871-3785
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202007482 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denbigh Pharmacy LLC | Current | Accepting new patients | |
| Denbigh Pharmacy LLC | Past | Accepting new patients |
Locations
13349 Warwick Blvd
Newport News, VA 23602
Phone (757) 877-0253
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1942841762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 CASEY TER",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236014630",
"telephone_number": "757-871-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13349 WARWICK BLVD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236025601",
"telephone_number": "757-877-0253",
"fax_number": "757-872-9247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANT",
"first_name": "GARY",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202007482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.