Jordan Malik Grant

Pharmacist · Champaign, IL

Individual Active NPI

NPI number 1124893474

Practice location

1713 W Springfield Ave
Champaign, IL 61821-3011
Phone
(217) 356-2529

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NPI record

NPI
1124893474
Entity type
Individual (Type 1)
Enumeration date
November 16, 2023
Last updated
November 16, 2023
Certified
November 16, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051305983 IL

About Jordan Grant

Jordan Malik Grant is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1713 W Springfield Ave, Champaign, IL 61821-3011. The NPI number 1124893474 was assigned on November 16, 2023 and the record was last updated on November 16, 2023.

Jordan Grant lists a license in the registry: #051305983 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan Malik Grant?

The NPI number is 1124893474.

What is the phone number of Jordan Grant?

The phone number listed for the practice location is (217) 356-2529.

Where is Jordan Grant located?

1713 W Springfield Ave, Champaign, IL 61821-3011.

What is the taxonomy code for Jordan Grant?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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