GRADY JACK GRAHAM
NPI 1972214161
Pharmacist in Marion, IL

Active since December 08, 2022
2802 OUTER DR, MARION, IL 62959(618) 997-2021 Get Directions Write a Review

NPPES record last updated: December 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grady Jack Graham NPPES

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

GRADY JACK GRAHAM (NPI 1972214161) is an individual pharmacist in Marion, Illinois, licensed in Illinois (051305245) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1972214161
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameGRADY JACK GRAHAM
Location Address2802 OUTER DRMarion, IL 62959-5207
Mailing Address2802 Outer DrMarion, IL 62959-5207 · (618) 997-2021
Sole ProprietorNo
Enumeration DateDecember 8, 2022
Last NPPES UpdateDecember 10, 2022
NPPES CertifiedDecember 10, 2022
NPI 1972214161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 051305245
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.
2802 OUTER DR, Marion, IL 62959

Other Providers at the Same Location NPPES 8

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

Pharmacy Technician
2802 OUTER DR
MARION, IL 62959
Pharmacist
2802 OUTER DR
MARION, IL 62959
Pharmacist
2802 OUTER DR
MARION, IL 62959
Pharmacist
2802 OUTER DR
MARION, IL 62959
Pharmacist
2802 OUTER DR
MARION, IL 62959
Pharmacy (Community/Retail Pharmacy)
2802 OUTER DR
MARION, IL 62959
Optometrist
2802 OUTER DR
MARION, IL 62959
Pharmacist
2802 OUTER DR
MARION, IL 62959

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 Grady Graham's NPI number?

The NPI number for Grady Graham is 1972214161. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Grady Graham located?

Grady Graham practices at 2802 Outer Dr, Marion, IL 62959. The listed phone number is (618) 997-2021.

What is Grady Graham'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 Grady Graham was last updated on December 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.