Grey Dog III, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26201 Issued in FL

Legal business name

GREY DOG III, INC

Practice address

15955 SW 96TH St
Suite 105
Miami, FL 33196-1271

Phone

(305) 752-0080

Fax

(305) 752-0065

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Geist

Title

President

Phone

(305) 412-6707

Specialties & licenses 1

Addresses

Other names 1

• Jerry's West Kendall Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1376898015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961271",
            "telephone_number": "305-752-0080",
            "fax_number": "305-752-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 SW 96TH ST",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961271",
            "telephone_number": "305-752-0080",
            "fax_number": "305-752-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREY DOG III, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "GEIST",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-412-6707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerry's West Kendall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeannie Irma Gresseau, APRN
• Elia Esther Gressin Zapata, CERTIFIED DOULA DONA
• Josephine A Greto, MS, RD
• James Greve, MD
• Kanika Sethi Grewal, DPM
• Grey Dog Inc
• Grey Medical Group Inc
• Grey'S Dental Inc.
• GRG Medical Supplies Inc
• Patrick Gribel

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.