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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUDY MARIE GRAVENHORST
NPI 1114557964
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Sylvania, OH

Active since January 21, 2020
7545 SYLVANIA AVE, SYLVANIA, OH 43560(419) 841-6468 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Jan 21, 2020 (2 updates tracked since 2020).

About Judy Marie Gravenhorst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY MARIE GRAVENHORST (NPI 1114557964) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Sylvania, Ohio, licensed in Ohio (03440940) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1114557964
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJUDY MARIE GRAVENHORST
Location Address7545 SYLVANIA AVESylvania, OH 43560-9735
Mailing Address7545 Sylvania AveSylvania, OH 43560-9735 · (419) 841-6468
Phone(419) 841-6468
Sole ProprietorNo
Enumeration DateJanuary 21, 2020
Last NPPES UpdateAugust 17, 20262 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1114557964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OH · 03440940
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.
Also ListedPharmacistTaxonomy 183500000X · License 03440940 (OH)
7545 SYLVANIA AVE, Sylvania, OH 43560
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRAD SHEROIAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7545 SYLVANIA AVE
SYLVANIA, OH 43560
Lucas County (419) 841-6468
JILL D'AMICO RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7545 SYLVANIA AVE
SYLVANIA, OH 43560
Lucas County (419) 841-6468
KELLY BITTER
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
7545 SYLVANIA AVE
SYLVANIA, OH 43560
Lucas County (419) 841-6468
THE KROGER CO
Pharmacy (Community/Retail Pharmacy)
7545 SYLVANIA AVE
SYLVANIA, OH 43560
Lucas County (419) 841-6468

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Judy Gravenhorst's NPI number?

The NPI number for Judy Gravenhorst is 1114557964. It was assigned to this individual provider in the NPPES registry on January 21, 2020.

Where is Judy Gravenhorst located?

Judy Gravenhorst practices at 7545 Sylvania Ave, Sylvania, OH 43560. The listed phone number is (419) 841-6468.

What is Judy Gravenhorst's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Judy Gravenhorst was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.