Individual provider Active NPI

Michelle Greulich, PHARMD

  • Pharmacist
  • Sussex, NJ
National Provider Identifier
1396165700
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI03566200 Issued in NJ
Practice address
455 Route 23
Sussex, NJ 07461-2212
Phone
(973) 875-5701
Fax
(973) 875-2731
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI03566200 NJ Primary

Addresses

Primary practice location

455 Route 23
Sussex, NJ 07461-2212

Mailing address

455 Route 23
Sussex, NJ 07461-2212
Phone (973) 875-5701

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
28RI03566200NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1396165700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROUTE 23",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612212",
            "telephone_number": "973-875-5701",
            "fax_number": "973-875-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 ROUTE 23",
            "city": "SUSSEX",
            "state": "NJ",
            "postal_code": "074612212",
            "telephone_number": "973-875-5701",
            "fax_number": "973-875-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREULICH",
        "first_name": "MICHELLE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03566200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sussex, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.