MR. RICHARD GRANDVILLE MICHAEL


Address: 1311 Woodcastle Rd, Nixa, MO 65714-7183
Phone: 4177259302

MR. RICHARD GRANDVILLE MICHAEL (NPI# 1194087478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194087478
Entity Type Individual
Full Name MR. RICHARD GRANDVILLE MICHAEL
Credential RPH
Practice Address 1311 Woodcastle Rd
Nixa
MO 65714-7183
Practice Telephone 4177259302
Mailing Telephone 4177259302
Enumeration Date 2012-06-12
Last Update Date 2012-06-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
042027 MO Pharmacy Service Providers

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1861496671 Richard James Michael Internal Medicine 1500 Line Ave Ste 204, Shreveport, LA 71101-4648 2005-06-09
1285895474 Richard G Michael Psychologist 1500 W 38th St, Suite 49, Austin, TX 78731-6321 2008-06-19
1134137540 Richard Olin Michael Family Medicine 998 S Dorset Rd, Ste 301, Troy, OH 45373-4753 2006-08-03
1891712428 Richard Michael Physician Assistant 411 W Randolph Rd, Hopewell, VA 23860-2938 2006-07-17

Office Location

Street Address 1311 WOODCASTLE RD
City NIXA
State MO
Zip Code 65714-7183

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740895440 Lester E Cox Medical Centers Clinic/Center 501 N Old Wilderness Road, Nixa, MO 65714 2020-09-10
1568941144 Smith Management Services, LLC Durable Medical Equipment & Medical Supplies 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 2018-08-14
1942706692 Phillip Marshal Guison Chiropractor 696 W Mount Vernon St, Nixa, MO 65714 2018-04-02
1831561554 Gray Psychological Services LLC Psychologist 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 2015-10-21
1053787317 Nicole Blanchard Speech-Language Pathologist 1801 Quail Ln, Nixa, MO 65714 2015-08-20
1629410766 Danielle Ranae Lee Nurse Practitioner 940 W Mount Vernon St Ste 210, Nixa, MO 65714 2013-07-17
1205197373 Kelly Dove Dove Dentist 725 W Mt. Vernon St., Nixa, MO 65714 2012-06-05
1831473818 Amy Susan Wells Pharmacist 106 N Massey, Nixa, MO 65714 2011-10-07
1013207612 Ashley E Pritchett Counselor 402b Mt Vernon, #122, Nixa, MO 65714 2011-04-15
1760632400 Jennifer Lynn Maloney Counselor 611a W. Mount Vernon Street, Nixa, MO 65714 2008-09-30
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982220406 Catherine Alane Stamm Pharmacist 221 Buzzard Rock Rd, Farmington, MO 63640-9703 2020-06-20
1801353214 Carla Mary Doherty Pharmacist 216 Spring Oaks Dr, Ballwin, MO 63011-3836 2019-02-22
1003327537 Missouri Ltc Pharmacy LLC Pharmacist 6129 West Us Highway 60, Brookline, MO 65619 2017-10-24
1730620584 Leah Gregory Pharmacist 501 Hidden Creek Dr, Ozark, MO 65721-4230 2017-03-13
1891810636 Ken Applegate Pharmacist 453 E. 111th St., Kansas City, MO 64131 2007-03-20
1750413746 Shawn Lorene Schieber Pharmacist 453 E Red Bridge Rd, Kansas City, MO 64131-4038 2007-03-12
1386793388 Janene Rae Verrant Pharmacist 269 Le Beau Ln, Saint Charles, MO 63303-4212 2007-01-09
1174162556 Alexandra Rozman-o'neill Pharmacist 1000 Carondelet Dr, Kansas City, MO 64114-4673 2020-01-02
1447640974 Robin Miller Pharmacist 1401 S Park St, El Dorado Springs, MO 64744-2037 2015-02-04
1912246604 Donette A Gillespie Pharmacist 530 Mid Rivers Mall Dr, Saint Peters, MO 63376-2150 2013-01-31
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Competitor

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City NIXA
Zip Code 65714

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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