Individual provider · Type 1 NPI

Kelvin Grande Houston

Pharmacist · San Diego, CA

NPI number 1215804109 Active

Practice location

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Call (619) 532-8596 Map

Mailing address

895 Park Blvd Apt 457
San Diego, CA 92101-6688

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X033.0135821 (VT)

Pharmacist: 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…

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About NPI 1215804109

Kelvin Grande Houston's National Provider Identifier is 1215804109, issued on Oct 23, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Diego, CA. The record was last updated on Oct 23, 2025.