Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Sudholt, RPH

Individual provider Pharmacist · NPI 1649689191

Grant Sudholt, RPH is a Pharmacist in Edgewood, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2014
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

66 State Road 344
Edgewood, NM 87015-6849
Phone: (505) 286-3053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP6453 (NM)

Record details

NPI number1649689191
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorYes
NPI enumeratedAugust 8, 2014
Last updated in NPPESAugust 8, 2014
Mailing addressPo Box 1673, Sandia Park, NM 87047-1673

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