MALCOLM GRANDERSON
NPI 1972109890
Pharmacist in Kearny, NJ

Active since December 07, 2020
100 PASSAIC AVE, KEARNY, NJ 07032(201) 991-3568(201) 991-4272 Get Directions Write a Review

NPPES record last updated: December 7, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malcolm Granderson NPPES

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

MALCOLM GRANDERSON (NPI 1972109890) is an individual pharmacist in Kearny, New Jersey, licensed in New Jersey (28RI02117400) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1972109890
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMALCOLM GRANDERSON
Location Address100 PASSAIC AVEKearny, NJ 07032-1140
Mailing Address100 Passaic AveKearny, NJ 07032-1140 · (201) 991-3568 · Fax (201) 991-4272
Fax(201) 991-4272
Sole ProprietorYes
Enumeration DateDecember 7, 2020
NPPES CertifiedDecember 7, 2020
NPI 1972109890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NJ · 28RI02117400
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.
100 PASSAIC AVE, Kearny, NJ 07032

Other Providers at the Same Location NPPES 2

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

Pharmacist
100 PASSAIC AVE
KEARNY, NJ 07032
Pharmacy (Community/Retail Pharmacy)
100 PASSAIC AVE
KEARNY, NJ 07032

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 Malcolm Granderson's NPI number?

The NPI number for Malcolm Granderson is 1972109890. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Malcolm Granderson located?

Malcolm Granderson practices at 100 Passaic Ave, Kearny, NJ 07032. The listed phone number is (201) 991-3568.

What is Malcolm Granderson'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 Malcolm Granderson was last updated on December 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.