Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043813272 Individual Practitioner Male Practitioner

Kevin Grissom

Pharmacist • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Kevin Grissom is a registered healthcare professional specializing in Pharmacist in Springfield, MA. Practice services are available at 770 BOSTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

770 Boston Rd

Springfield, MA 011191311

Telephone 4137830125
Associated Practice Facility / Clinic
🏢 Cvs Pharmacy Inc Facility NPI 1790885127

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Springfield, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
150 Specialists

Practicing in Springfield, MA (6023 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: 2020-11-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MA 25702

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

2 Associated Practitioners
Jeffrey Miller

Pharmacist

NPI 1215532148
Dr. Abdullah Karam , PharmD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1851173207

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2020

Registered at 770 BOSTON RD, SPRINGFIELD, MA 011191311 (Tel: 4137830125)

📍
Updated Business Mailing Address November 19, 2020

Registered at 770 BOSTON RD, SPRINGFIELD, MA 011191311

👤
Provider Name / Credentials Updated November 19, 2020

Recorded as KEVIN GRISSOM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Pharmacist (License #25702 in MA)

🟢
Initial NPI Registration & Enumeration November 19, 2020

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: 1043813272
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2020
Last Update: November 19, 2020
Sole Proprietor: Yes

Mailing Address

770 Boston Rd

Springfield, MA 011191311

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.