Active NPI
Julie Ann Greco, PHARM.D.
- Pharmacist
- Kelso, WA
National Provider Identifier
1104025642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00070053
- Practice address
- 205 Three Rivers Dr
Kelso, WA 98626-3127 - Phone
- (360) 578-7387
- Fax
- (360) 578-7387
- NPI assigned
- Jul 14, 2007
- Last updated
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | PH00070053 | WA | Primary |
Addresses
Primary practice location
205 Three Rivers Dr
Kelso, WA 98626-3127
Mailing address
205 Three Rivers Dr
Kelso, WA 98626-3127
Phone (360) 578-7387
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 |
|---|---|---|---|
| PH00070053 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1104025642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 THREE RIVERS DR",
"city": "KELSO",
"state": "WA",
"postal_code": "986263127",
"telephone_number": "360-578-7387",
"fax_number": "360-578-7387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 THREE RIVERS DR",
"city": "KELSO",
"state": "WA",
"postal_code": "986263127",
"telephone_number": "360-578-7387",
"fax_number": "360-578-7387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "JULIE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-14",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00070053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kelso, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.