Provider Demographics
NPI:1851539712
Name:MCELWEE, GRANT ALAN (PHARMD, BCPS)
Entity Type:Individual
Prefix:DR
First Name:GRANT
Middle Name:ALAN
Last Name:MCELWEE
Suffix:
Gender:M
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 NEW SUDBURY ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02203-0002
Mailing Address - Country:US
Mailing Address - Phone:617-565-1185
Mailing Address - Fax:
Practice Address - Street 1:15 NEW SUDBURY ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02203-0002
Practice Address - Country:US
Practice Address - Phone:918-762-6792
Practice Address - Fax:918-762-1042
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPD113981835P1200X
WAPH610974591835P1200X
OK146771835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy