DR. OLIVIA GRANTHAM (NPI# 1467756486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467756486 |
| Entity Type | Individual |
| Full Name | DR. OLIVIA GRANTHAM |
| Credential | PHARMD |
| Practice Address |
Us Rt 119 Holden Rd Mount Gay WV 25637 |
| Practice Telephone | 3042392380 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP0007560 | WV | Pharmacy Service Providers |
| Street Address |
US RT 119 HOLDEN RD |
| City | MOUNT GAY |
| State | WV |
| Zip Code | 25637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978536 | Eric Lloyd | Pharmacist | 360 Mount Gay Road, Mount Gay, WV 25637 | 2020-09-24 |
| 1649880162 | Regina A England | Technician | 15 Amanda Lane, Mount Gay, WV 25637 | 2020-08-10 |
| 1376153999 | Kristin L Caudill | Technician | 107 Heartstrings Ave, Mount Gay, WV 25637 | 2020-08-07 |
| 1194289934 | Bp6 LLC | Pharmacy | 360 Mount Gay Rd, Mount Gay, WV 25637 | 2019-01-25 |
| 1275018798 | Robertson Pharmacy, LLC | Pharmacy | 360 Mt. Gay Road, Mt. Gay, WV 25637 | 2018-10-01 |
| 1932545647 | Daniel Ryan Mullins | Pharmacist | 164 Holden Rd, Mount Gay, WV 25637 | 2013-05-21 |
| 1134368921 | Dana Weekley | Pharmacist | Us Rt 119 Holden Road, Mt. Gay, WV 25637 | 2009-02-18 |
| 1437224367 | Earl Claycomb | Pharmacist | Old Route 119, Mount Gay, WV 25637 | 2006-11-24 |
| 1609985944 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 164 Holden Road, Mount Gay, WV 25637 | 2006-08-30 |
| 1871144899 | Siddarthan Ilangovan | Pharmacist | 360 Mount Gay Rd, Bypass Pharmacy # 6, Mount Gay, WV 25637 | 2019-09-20 |
| Find all providers in zip 25637 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558978536 | Eric Lloyd | Pharmacist | 360 Mount Gay Road, Mount Gay, WV 25637 | 2020-09-24 |
| 1568818466 | Michael Morris | Pharmacist | Us Route 119 Holden Rd, Mount Gay, WV 25637-1263 | 2016-05-10 |
| 1932545647 | Daniel Ryan Mullins | Pharmacist | 164 Holden Rd, Mount Gay, WV 25637 | 2013-05-21 |
| 1376846576 | Justin Booth | Pharmacist | Us Route 119 Holden Road, Mount Gay, WV 25637-1264 | 2010-12-09 |
| 1437224367 | Earl Claycomb | Pharmacist | Old Route 119, Mount Gay, WV 25637 | 2006-11-24 |
| 1871144899 | Siddarthan Ilangovan | Pharmacist | 360 Mount Gay Rd, Bypass Pharmacy # 6, Mount Gay, WV 25637 | 2019-09-20 |
| 1205130549 | Larry Edward Bartoe | Pharmacist | Us Route 119 Holden Road, Mount Gay, WV 25637-1264 | 2010-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
| 1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
| 1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. OLIVIA GRANTHAM.
| 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.