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Active NPI 1366901191 Individual Practitioner Male Practitioner

Dr. Nicholas Marks Grunewald , PharmD

Pharmacist • Tyndall Afb, FL

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Grunewald, PharmD is a registered healthcare professional specializing in Pharmacist in Tyndall Afb, FL. Practice services are available at 325 MDG, 340 MAGNOLIA CIRCLE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 Mdg, 340 Magnolia Circle

Tyndall Afb, FL 32403

Telephone 8502837377

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Tyndall Afb, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
10 Specialists

Practicing in Tyndall Afb, FL (19926 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-11-03
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License AR PD14167

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.

Secondary Practice Locations

210 Congressional Cir

Little Rock, AR 722102832

Phone: 5016905580

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Andre Sullivan , MD

Psychiatry & Neurology - Psychiatry

NPI 1023162559

Doctor of Medicine (M.D.)

Eric Kirwan , LISW

Social Worker

NPI 1043499742

Licensed Independent Social Worker

Melissa Smith , LCSW

Social Worker - Clinical

NPI 1093053282

Licensed Clinical Social Worker

Jimbell Gray , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1346711579
Andrea Bright , LCSW

Social Worker - Clinical

NPI 1477179158

Licensed Clinical Social Worker

Gabrielle Blankenship , LCSW

Social Worker - Clinical

NPI 1548251465

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location November 06, 2023

Registered at 325 MDG, 340 MAGNOLIA CIRCLE, TYNDALL AFB, FL 32403 (Tel: 8502837377)

📍
Updated Business Mailing Address August 15, 2023

Registered at 325 MDG/SGAP, 340 MAGNOLIA CIR., TYNDALL AFB, FL 32403 (Tel: 8502837377)

📍
Updated Practice Location February 23, 2021

Registered at 88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433 (Tel: 9372579696)

📍
Updated Business Mailing Address February 23, 2021

Registered at 88 MDG/SGHJ, 4881 SUGAR MAPLE DR., WRIGHT-PATTERSON AFB, OH 45433 (Tel: 9372579696)

👤
Provider Name / Credentials Updated February 23, 2021

Recorded as NICHOLAS GRUNEWALD, PHARMD

NPI Profile Active March 19, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 19, 2019

Registered at 210 CONGRESSIONAL CIR, LITTLE ROCK, AR 722102832 (Tel: 5016905580)

📍
Updated Business Mailing Address March 19, 2019

Registered at 210 CONGRESSIONAL CIR, LITTLE ROCK, AR 722102832 (Tel: 5016905580)

👤
Provider Name / Credentials Updated March 19, 2019

Recorded as NICHOLAS GRUNEWALD, PHARM.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2019

Pharmacist (License #PD14167 in AR)

🟢
Initial NPI Registration & Enumeration March 19, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1366901191
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 19, 2019
Last Update: November 06, 2023
Sole Proprietor: Yes

Mailing Address

325 Mdg/sgap, 340 Magnolia Cir.

Tyndall Afb, FL 32403

Phone: 8502837377

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.