Grey & Teal

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GREY & TEAL

Practice address

7910 US Highway 117 S Unit 110
Rocky Point, NC 28457-7409

Phone

(910) 210-2030

Fax

(910) 210-2031

NPI assigned

Oct 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth T Locklear

Title

President/Manger

Phone

(910) 210-2030

Specialties & licenses 1

Addresses

Other names 1

• Rocky Point Pavilion Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1033686175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 US HIGHWAY 117 S UNIT 110",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577409",
            "telephone_number": "910-210-2030",
            "fax_number": "910-210-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 US HIGHWAY 117 S UNIT 110",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577409",
            "telephone_number": "910-210-2030",
            "fax_number": "910-210-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY & TEAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/MANGER",
        "authorized_official_telephone_number": "910-210-2030"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Point Pavilion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rocky Point Pavilion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Michalea Farewell
• Catherine Sydney Farmer, LCMHC, LCAS
• Robert Fedoronko
• Georgia Lee Gerard-Reed
• Amber Annab Gordon, FNP
• Grey & Teal
• Grey & Teal
• Grey & Teal
• Jessica Jaruczyk
• Zachary Ariel Johnson, LCSWA LCASA

• All providers in Rocky Point, NC
• Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.