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

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