Provider Demographics
NPI:1164851390
Name:GRUBB, RODNEY (PHARM D)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:
Last Name:GRUBB
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:502 CLUBSIDE CT
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9271
Mailing Address - Country:US
Mailing Address - Phone:333-554-6831
Mailing Address - Fax:
Practice Address - Street 1:121 W ELMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-8276
Practice Address - Country:US
Practice Address - Phone:336-370-0353
Practice Address - Fax:336-370-0393
Is Sole Proprietor?:No
Enumeration Date:2013-11-07
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC198531835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist