Greeson RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREESON RX

Doing business as

Pooler Pharmacy

Practice address

1557 Pooler Pkwy Ste 400
Pooler, GA 31322-4389

Phone

(912) 348-4200

Fax

(912) 348-4421

NPI assigned

Apr 14, 2021

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joshua Zane Greeson, PHARMD

Title

Owner

Phone

(912) 348-4200

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Pooler Pharmacy Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1033790878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 ALDERMAN RD",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304158236",
            "telephone_number": "912-687-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1557 POOLER PKWY STE 400",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224389",
            "telephone_number": "912-348-4200",
            "fax_number": "912-348-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREESON RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-14",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "GREESON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "ZANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-348-4200",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PHRE010929",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003253912A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pooler",
            "affiliation": "N",
            "endpointDescription": "PHARMACY SOFTWARE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1557 Pooler Pkwy Ste 400",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313224389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pooler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pooler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bradley Gordon
• Alfred Carl Gorman Sr., M.D.
• Ella Grace Gossett
• Tereeka Green
• Steven A Greer, MD
• Greeson RX (Pooler Pharmacy)
• Joshua Zane Greeson, PHARMD
• Essance Griffin
• Kiara Griffin
• Robert Grossman

• Community/Retail Pharmacy in Pooler, GA
• Providers in Pooler, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.