Provider Demographics
NPI:1952901068
Name:GRIGSBY, NEKISHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEKISHA
Middle Name:
Last Name:GRIGSBY
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N HOWARD ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-1699
Mailing Address - Country:US
Mailing Address - Phone:703-746-4850
Mailing Address - Fax:703-746-4851
Practice Address - Street 1:1200 N HOWARD ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-1699
Practice Address - Country:US
Practice Address - Phone:703-746-4850
Practice Address - Fax:703-746-4851
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-28
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202215185183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist