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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BOARD OF PHARMACY | PS40135 | 01 |
SC | SC BOARD OF PHARMACY | 13491 | 01 |
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 |
Street Address |
15 VILLA RD, APT #182 |
City | GREENVILLE |
State | SC |
Zip Code | 29615 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831696251 | Sovereign Medical Consulting LLC | Pharmacist | 15 Villa Rd, Apt #182, Greenville, SC 29615 | 2018-04-11 |
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 Code | 1835P0018X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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] |
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 |
City | GREENVILLE |
Zip Code | 29615 |
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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.