Active NPI
Michelle Renee Gregory, RPH
- Pharmacist
- Reidsville, NC
National Provider Identifier
1306130075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18707
- Practice address
- 1615 Way St
Reidsville, NC 27320-5748 - Phone
- (336) 342-4741
- Fax
- (336) 342-9038
- NPI assigned
- May 30, 2011
- Last updated
- May 30, 2011
- 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 | 18707 | NC | Primary |
Addresses
Primary practice location
1615 Way St
Reidsville, NC 27320-5748
Mailing address
1615 Way St
Reidsville, NC 27320-5748
Phone (336) 342-4741
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 |
|---|---|---|---|
| 18707 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina CVS Pharmacy LLC | Past | Accepting new patients | |
| North Carolina CVS Pharmacy LLC | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306713600000",
"number": "1306130075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 WAY ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205748",
"telephone_number": "336-342-4741",
"fax_number": "336-342-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 WAY ST",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273205748",
"telephone_number": "336-342-4741",
"fax_number": "336-342-9038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGORY",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-30",
"last_updated": "2011-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.