DR. GRANT DAVID LACKEY PHARM.D. NPI 1124367693

NPI Information

NPI: 1124367693
Provider Name: DR. GRANT DAVID LACKEY, PHARM.D.
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
131 COHN VALLEY WAY
FOLSOM, CA
ZIP 95630
Phone: (916) 204-0192
Get Directions

DR. Grant David Lackey, PHARM.D. is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Folsom, CA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Grant David Lackey, PHARM.D. NPI is 1124367693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

131 COHN VALLEY WAY
FOLSOM, CA
ZIP 95630-050
Phone: (916) 204-0192

The enumeration date for this NPI number is 2/4/2013 and was last updated on 2/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	43452	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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