Dr Gram Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY50645 Issued in CA

Legal business name

DR GRAM PHARMACY, INC.

Practice address

909 E Valley Pkwy
Escondido, CA 92025-3428

Phone

(760) 741-9804

Fax

(760) 741-0584

NPI assigned

Jul 28, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Bernard John Gramlich, PHARM.D

Title

Ceo

Phone

(760) 741-9804

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Med Rx Pharmacy Doing business as

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1962402164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253428",
            "telephone_number": "760-741-9804",
            "fax_number": "760-741-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 E VALLEY PKWY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253428",
            "telephone_number": "760-741-9804",
            "fax_number": "760-741-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR GRAM PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "GRAMLICH",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-741-9804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY50645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA410170",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHY410170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Rx Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veleda A Douglas, RD
• Gyanna Downey, NONE
• Brieana Margaret Downs
• Dr Alberto Gonzalez DDS.,Inc
• Dr Gram Pharmacy Inc
• Dr Michael J Haug & Dr Deborah S Haug Optometrists, Inc
• Shawn Elizabeth Draves
• Eric J Drimmer, MD
• Katherine Driscoll, IMFT
• Jane Drost

• Pharmacy in Escondido, CA
• Providers in Escondido, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.