DR. EDWARD EDMOND GRACE


Address: 15 Villa Rd, Apt #182, Greenville, SC 29615
Phone: 8644514250

DR. EDWARD EDMOND GRACE (NPI# 1295841120) 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) 1295841120
Entity Type Individual
Full Name DR. EDWARD EDMOND GRACE
Credential PHARM.D.
Practice Address 15 Villa Rd, Apt #182
Greenville
SC 29615
Mailing Address 15 Villa Rd, Apt #182 Apartment 517
Saint Petersburg
SC 29615
Practice Telephone 8644514250
Mailing Telephone 8644514250
Enumeration Date 2006-08-22
Last Update Date 2018-03-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
1391 SC Pharmacy Service Providers
N 1835P1200X Pharmacist
Specialization: Pharmacotherapy
PS40135 FL Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
13491 SC Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL BOARD OF PHARMACY PS40135 01
SC SC BOARD OF PHARMACY 13491 01

Other Providers EDWARD GRACE

NPI Name Taxonomy Address Enumeration
1396998084 Edward Paul Grace Contractor 1201 Us Highway 1, Suite 42, North Palm Beach, FL 33408-3550 2008-10-28

Office Location

Street Address 15 VILLA RD, APT #182
City GREENVILLE
State SC
Zip Code 29615

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831696251 Sovereign Medical Consulting LLC Pharmacist 15 Villa Rd, Apt #182, Greenville, SC 29615 2018-04-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
Find all providers in zip 29615

Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437783230 Erica Yelton Pharmacist 1325 Miller Rd Ste K, Greenville, SC 29607-6541 2020-03-02
1083191597 Annette Goodwin Walker Pharmacist 18 Canso St, Greenville, SC 29607-6414 2018-07-26
1972050953 Suha Umina Pharmacist 975 W. Faris Road, Greenville, SC 29605 2016-09-07
1528388329 Edward Cort Andrews Pharmacist 640 Sulphur Springs Rd, Greenville, SC 29617-1622 2010-06-03
1326283094 Susan Elizabeth Nunes Pharmacist 14 Pelham Townes Dr, Greenville, SC 29615-4073 2008-12-10
1407457666 Carmen Michele Faulkner-fennell Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-11-04
1326648650 Lindsay Snow Reulbach Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-27
1942809710 Jacqueline Ann Califano Piccirilli Pharmacist 175 Patewood Dr, Greenville, SC 29615-3570 2020-10-22
1255930319 Rebecca Terry Goldstein Pharmacist 701 Grove Rd, Greenville, SC 29605-4210 2020-10-20
1811596208 Linda Suzanne Evans Pharmacist 200 Lease Ave, Greenville, OH 45331-2567 2020-10-19
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29615

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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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