Active NPI
Grant Pharmacist Group Inc
- Pharmacy
- Crittenden, KY
National Provider Identifier
1952321713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- P07274
- Legal business name
- GRANT PHARMACIST GROUP INC
- Practice address
- 700 Violet Rd
Crittenden, KY 41030-1101 - Phone
- (859) 428-0900
- Fax
- (850) 813-1325
- NPI assigned
- Jul 21, 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 Frank, PHD
- Title
- Corporate Partner
- Phone
- (606) 845-3421
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | P06695 | KY | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | P07274 | KY | |
| Pharmacy | 333600000X | P06695 | KY | |
| Pharmacy | 333600000X | P07274 | KY | Primary |
Addresses
Primary practice location
700 Violet Rd
Crittenden, KY 41030-1101
Mailing address
700 Violet Rd
Crittenden, KY 41030-1101
Phone (859) 428-0900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54002738 | Medicaid | KY | |
| 1827077 | Other | KY | NCPDP |
| 7100056090 | Medicaid | KY |
Other names 1
- Total Care Pharmacy #4
National Provider Directory
National Provider Directory- Tax ID family
- Grant Pharmacist Group Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Crittenden, KY
- NPI 1427214253
-
- Durable Medical Equipment & Medical Supplies
- Crittenden, KY
- NPI 1033360128
-
- Durable Medical Equipment & Medical Supplies
- Dry Ridge, KY
- NPI 1679724348
Locations
700 Violet Rd
Crittenden, KY 41030
Phone (859) 428-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1952321713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 VIOLET RD",
"city": "CRITTENDEN",
"state": "KY",
"postal_code": "410301101",
"telephone_number": "859-428-0900",
"fax_number": "859-813-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 VIOLET RD",
"city": "CRITTENDEN",
"state": "KY",
"postal_code": "410301101",
"telephone_number": "859-428-0900",
"fax_number": "850-813-1325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT PHARMACIST GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "CORPORATE PARTNER",
"authorized_official_telephone_number": "606-845-3421",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P06695",
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "KY",
"license": "P07274",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P06695",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "KY",
"license": "P07274",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54002738",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "1827077",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100056090",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Total Care Pharmacy #4",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crittenden, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.