GRANT SUDHOLT RPH
NPI 1649689191
Pharmacist in Edgewood, NM

Active since August 08, 2014
66 STATE ROAD 344, EDGEWOOD, NM 87015(505) 286-3053 Get Directions Write a Review

NPPES record last updated: August 8, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant Sudholt Rph NPPES

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

GRANT SUDHOLT RPH (NPI 1649689191) is an individual pharmacist in Edgewood, New Mexico, licensed in New Mexico (RP6453) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1649689191
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGRANT SUDHOLTCredential: RPH
Location Address66 STATE ROAD 344Edgewood, NM 87015-6849
Mailing AddressPo Box 1673Sandia Park, NM 87047-1673 · (505) 710-3452
Sole ProprietorYes
Enumeration DateAugust 8, 2014
NPI 1649689191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NM · RP6453
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.
66 STATE ROAD 344, Edgewood, NM 87015

Other Providers at the Same Location NPPES 3

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

Pharmacist
66 STATE ROAD 344
EDGEWOOD, NM 87015
Pharmacy (Community/Retail Pharmacy)
66 STATE ROAD 344
EDGEWOOD, NM 87015
Pharmacist
66 STATE ROAD 344
EDGEWOOD, NM 87015

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 Grant Sudholt's NPI number?

The NPI number for Grant Sudholt is 1649689191. It was assigned to this individual provider in the NPPES registry on August 8, 2014.

Where is Grant Sudholt located?

Grant Sudholt practices at 66 State Road 344, Edgewood, NM 87015. The listed phone number is (505) 286-3053.

What is Grant Sudholt's specialty?

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

When was this NPI record last updated?

The NPPES record for Grant Sudholt was last updated on August 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.