Organization Active NPI

Greyrock Enterprises

  • Pharmacist
  • Simi Valley, CA
National Provider Identifier
1316289036
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
GREYROCK ENTERPRISES
Practice address
1464 Madera Rd # N-181
Simi Valley, CA 93065-3077
Phone
(805) 416-1648
Fax
(805) 823-6519
NPI assigned
Mar 20, 2013
Last updated
Mar 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Cort Colbert
Title
Owner
Phone
(805) 416-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X Primary

Addresses

Primary practice location

1464 Madera Rd # N-181
Simi Valley, CA 93065-3077

Mailing address

1464 Madera Rd # N-181
Simi Valley, CA 93065-3077
Phone (805) 416-1648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1316289036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N-181",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 MADERA RD # N-181",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930653077",
            "telephone_number": "805-416-1648",
            "fax_number": "805-823-6519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYROCK ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "CORT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-416-1648"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.