Individual provider Active NPI

George Joseph Greitz IV, PHARMD

  • Pharmacist
  • Kirkland, WA
National Provider Identifier
1205453412
Registry record updated Jul 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH61083015 Issued in WA
Practice address
10020 NE 137TH St
Kirkland, WA 98034-5221
Phone
(425) 821-0708
NPI assigned
Jul 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PH61083015 WA Primary

Addresses

Primary practice location

10020 NE 137TH St
Kirkland, WA 98034-5221

Mailing address

15515 Juanita Woodinville Way NE Unit C204
Bothell, WA 98011-1583
Phone (732) 779-6626

Other identifiers 1

IdentifierTypeStateIssuer
PH61083015OtherWAWA PHARMACIST LICENSE

Other names 1

  • Dr. Joe Greitz Professional name

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

LicenseStateTypeSpecialty
PH61083015WAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593734400000",
    "number": "1205453412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15515 JUANITA WOODINVILLE WAY NE UNIT C204",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980111583",
            "telephone_number": "732-779-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10020 NE 137TH ST",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345221",
            "telephone_number": "425-821-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREITZ",
        "first_name": "GEORGE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-03",
        "last_updated": "2020-07-03",
        "certification_date": "2020-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH61083015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA PHARMACIST LICENSE",
            "identifier": "PH61083015",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "GREITZ",
            "prefix": "DR.",
            "credential": "PHARMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.