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

Michael A Grossnickle, RPH

Individual provider Pharmacist · NPI 1861940769

Michael A Grossnickle, RPH is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5420 NE 33rd Ave
Portland, OR 97211-7404
Phone: (971) 230-0153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0015591 (OR)

Record details

NPI number1861940769
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedSeptember 20, 2016
Last updated in NPPESJuly 8, 2022
Certification dateJuly 8, 2022
Mailing address1776 Sw Madison St, Portland, OR 97205-1715

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