Organization Active NPI

Greggs Pharmacy Inc

  • Community/Retail Pharmacy
  • Oakland, MD
National Provider Identifier
1356398903
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01328 Issued in MD
Legal business name
GREGGS PHARMACY INC
Doing business as
Greggs Pharmacy Inc
Practice address
20 N 3Rd St
Oakland, MD 21550-1322
Phone
(301) 334-2197
Fax
(301) 334-3577
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Carol Gregg
Title
Sec Treas
Phone
(301) 334-2197

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P01328 MD Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

20 N 3Rd St
Oakland, MD 21550-1322

Mailing address

20 N 3Rd St
Oakland, MD 21550-1322
Phone (301) 334-2197

Other identifiers 4

IdentifierTypeStateIssuer
407077100MedicaidMD
2033063OtherPK
0142450000MedicaidWV
407073900MedicaidMD

Other names 1

  • Greggs Pharmacy Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20091009000141 MD Part B Supplier - Mass Immunization (Roster Biller Only) 2860538501 Practice locations: Oakland, MD
O20100930043230 MD DME Supplier - PharmacyDME Supplier - Orthotic PersonnelDME Supplier - Medical Supply Company With Registered Pharmacist 2860538501 Practice locations: Oakland, MD
O20201028002461 MD Part B Supplier - Independent Clinical Laboratory 2860538501 Practice locations: Oakland, MD

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.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1356398903",
    "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",
            "telephone_number": "301-334-2197",
            "fax_number": "301-334-3577"
        },
        {
            "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",
            "fax_number": "301-334-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGGS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "GREGG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "301-334-2197"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P01328",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407077100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2033063",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142450000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407073900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greggs Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.