Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124893474 Individual Practitioner Male Practitioner

Jordan Malik Grant

Pharmacist • Champaign, IL

Professional Overview & Biography Verified Profile Summary

Jordan Grant is a registered healthcare professional specializing in Pharmacist in Champaign, IL. Practice services are available at 1713 W SPRINGFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1713 W Springfield Ave

Champaign, IL 618213011

Telephone 2173562529
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1689689705

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Champaign, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
83 Specialists

Practicing in Champaign, IL (9983 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: 2023-11-16
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051305983

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.

Practice Associates & Co-Workers

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

11 Associated Practitioners
NPI 1134525520

Doctor of Pharmacy (Pharm.D.)

NPI 1205106374

Bachelor of Science

NPI 1235531427
Jincy Philip

Pharmacist

NPI 1235549064
NPI 1275145351

Doctor of Pharmacy (Pharm.D.)

You Fen Lei

Pharmacist

NPI 1346642881

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 16, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2023

Registered at 1713 W SPRINGFIELD AVE, CHAMPAIGN, IL 618213011 (Tel: 2173562529)

📍
Updated Business Mailing Address November 16, 2023

Registered at 1713 W SPRINGFIELD AVE, CHAMPAIGN, IL 618213011

👤
Provider Name / Credentials Updated November 16, 2023

Recorded as JORDAN GRANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2023

Pharmacist (License #051305983 in IL)

🟢
Initial NPI Registration & Enumeration November 16, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124893474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 16, 2023
Last Update: November 16, 2023
Sole Proprietor: No

Mailing Address

1713 W Springfield Ave

Champaign, IL 618213011

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.