IndividualActive
Jennifer Grant, RPH
NPI 1295058410 · Geriatric Pharmacist · Gouverneur, NY
Provider details
- NPI number
- 1295058410
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 20 046773 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
29 East Main Street
Gouverneur, NY 13642
Phone: (315) 287-5002
Fax: (180) 089-8423
Approximate (ZIP-level) locationGet directions
Mailing address
147 Church Street
Hermon, NY 13652
Registry dates
- Enumerated
- 2010-03-02
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.