DR. NICHOLAS MARKS GRUNEWALD PHARMD
NPI 1366901191
Pharmacist in Tyndall Afb, FL

Q: What is Nicholas Grunewald's NPI number?

The NPI number for Nicholas Grunewald is 1366901191. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Nicholas Grunewald's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Active since March 19, 2019

325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403(850) 283-7377 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2023, Aug 15, 2023, Feb 23, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Nicholas Marks Grunewald Pharmd NPPES

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

DR. NICHOLAS MARKS GRUNEWALD PHARMD (NPI 1366901191) is an individual pharmacist in Tyndall Afb, Florida, licensed in Arkansas (PD14167) and active in the NPI registry since March 2019. He maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1366901191

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. NICHOLAS MARKS GRUNEWALDCredential: PHARMD

Location Address325 MDG, 340 MAGNOLIA CIRCLETyndall Afb, FL 32403

Mailing Address325 Mdg/sgap, 340 Magnolia Cir.Tyndall Afb, FL 32403 · (850) 283-7377

Phone(850) 283-7377

Sole ProprietorYes

Enumeration DateMarch 19, 2019

Last NPPES UpdateNovember 6, 20234 updates tracked since enumeration

NPPES CertifiedNovember 3, 2023

✔ NPI 1366901191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in AR · PD14167

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

325 MDG, 340 MAGNOLIA CIRCLE, Tyndall Afb, FL 32403

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Secondary Practice Location 1

Location 1210 Congressional CirLittle Rock, AR 72210-2832 · Phone (501) 690-5580

Other Providers at the Same Location NPPES 9

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

DR. ANDRE JAWANN SULLIVAN M.D.

Psychiatry & Neurology (Psychiatry)