Active NPI
Jenna Lynne McGreevy, PHARMD
- Pharmacist
- Glens Falls, NY
National Provider Identifier
1003374331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 063019
- Practice address
- 101 Ridge St
Glens Falls, NY 12801-3624 - Phone
- (518) 798-6066
- Fax
- (518) 761-2097
- NPI assigned
- Mar 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 063019 | NY | Primary |
Addresses
Primary practice location
101 Ridge St
Glens Falls, NY 12801-3624
Mailing address
45 Deer Run Dr
Ballston Spa, NY 12020-4608
Phone (518) 524-0046
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063019 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1003374331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 DEER RUN DR",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120204608",
"telephone_number": "518-524-0046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIDGE ST",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013624",
"telephone_number": "518-798-6066",
"fax_number": "518-761-2097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGREEVY",
"first_name": "JENNA",
"middle_name": "LYNNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "063019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.