Active NPI
Mary Grace Fitts Coley, PHARMD
- Pharmacist
- Greensboro, NC
National Provider Identifier
1053722520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23216
- Practice address
- 1050 Alamance Church Rd
Greensboro, NC 27406-3808 - Phone
- (336) 804-6021
- NPI assigned
- May 18, 2014
- Last updated
- Feb 10, 2025
- 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 | 23216 | NC | Primary |
Addresses
Primary practice location
1050 Alamance Church Rd
Greensboro, NC 27406-3808
Mailing address
1050 Alamance Church Rd
Greensboro, NC 27406-3808
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 |
|---|---|---|---|
| 23216 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WalMart Pharmacy 10-5013
- Community/Retail Pharmacy
- High Point, NC
- NPI 1538507876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1053722520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 ALAMANCE CHURCH RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 ALAMANCE CHURCH RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274063808",
"telephone_number": "336-804-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEY",
"first_name": "MARY",
"middle_name": "GRACE FITTS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-18",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "23216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.