Jordan Malik Grant
Jordan Malik Grant is a Pharmacist provider (Pharmacist) practicing in Champaign, IL, registered in the NPPES registry with NPI 1124893474 since 2023. Practices at Walgreen Co (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124893474 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jordan Malik Grant |
| Sex | Male |
| Practice address | 1713 W SPRINGFIELD AVE, Champaign, IL, 61821 |
| Phone | 2173562529 |
| Enumeration date | 2023-11-16 |
| Last updated in NPPES | 2023-11-16 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 183500000X | Pharmacist | Primary | 051305983 | IL |
Copy-ready billing details
Provider: Jordan Grant NPI: 1124893474 Taxonomy: 183500000X (Pharmacist) Address: 1713 W SPRINGFIELD AVE, Champaign, IL, 61821
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689689705 | Walgreen Co | Organization | Pharmacy | Champaign, IL |
| 1427326016 | Marlyse Tsangue | Individual | Pharmacist | Champaign, IL |
| 1942579131 | Maxwell Wittler | Individual | Pharmacist | Champaign, IL |
| 1235549064 | Jincy Philip | Individual | Pharmacist | Champaign, IL |
| 1346642881 | You Fen Lei | Individual | Pharmacist | Champaign, IL |
| 1235531427 | Ciara Eileen Macenas | Individual | Pharmacist | Champaign, IL |
| 1417351636 | Lauren Wagoner | Individual | Pharmacist | Champaign, IL |
| 1134525520 | Jian Xin Xie | Individual | Pharmacist | Champaign, IL |
Verify this record
Cross-check NPI 1124893474 against the authoritative CMS record: view Jordan Malik Grant on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Jordan Grant?
Where does Jordan Grant practice?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-11-16.