Active NPI
Gary James Greco, RPH
- Pharmacist
- Orange, CA
National Provider Identifier
1164895207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35894
- Practice address
- 2138 N Tustin St
Orange, CA 92865-3712 - Phone
- (714) 998-3812
- Fax
- (714) 998-9690
- NPI assigned
- Nov 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35894 | CA | Primary |
| Pharmacist | 183500000X | 5220 | CT |
Addresses
Primary practice location
2138 N Tustin St
Orange, CA 92865-3712
Mailing address
2138 N Tustin St
Orange, CA 92865-3712
Phone (714) 998-3812
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5220 | CT | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1164895207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2138 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928653712",
"telephone_number": "714-998-3812",
"fax_number": "714-998-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2138 N TUSTIN ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928653712",
"telephone_number": "714-998-3812",
"fax_number": "714-998-9690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRECO",
"first_name": "GARY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-12",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "35894",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "5220",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.