Organization Active NPI

Greggs Pharmacy Inc

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Oakland, MD
National Provider Identifier
1306489935
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
Legal business name
GREGGS PHARMACY INC
Practice address
20 N 3Rd St
Oakland, MD 21550-1322
Phone
(301) 334-2197
NPI assigned
Oct 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Authorized official

Name
Carol A Gregg, OWNER
Title
Owner
Phone
(301) 334-2197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 1835P0018X Primary

Addresses

Primary practice location

20 N 3Rd St
Oakland, MD 21550-1322

Mailing address

20 N 3Rd St
Oakland, MD 21550-1322

Other identifiers 1

IdentifierTypeStateIssuer
407073900MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Greggs Pharmacy Inc LTC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 N 3rd St
Oakland, MD 21550
Phone (301) 334-2197

NPI Registry JSON

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

{
    "created_epoch": "1572134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1306489935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N 3RD ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N 3RD ST",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501322",
            "telephone_number": "301-334-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-27",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-334-2197",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407073900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.