Mark A Greaves, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

042059 Issued in MO

Practice address

450 Old Smizer Mill Rd
Fenton, MO 63026-3553

Phone

(636) 349-2666

Fax

(636) 530-3018

NPI assigned

Jun 27, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372291200000",
    "number": "1437599073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263553",
            "telephone_number": "636-349-2666",
            "fax_number": "636-530-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 OLD SMIZER MILL RD",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630263553",
            "telephone_number": "636-349-2666",
            "fax_number": "636-530-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "MARK",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2013-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MO",
            "license": "042059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Age Adult Daycare
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• Susan J. Gray, MD
• Matthew Austin Green, MPT
• Mark W Grimm, M.D.
• Laura Elizabeth Grimmer, MD
• Madison Elise Grohne, PHARMD
• Cyrene D Grothaus-Day, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fenton, MO
• Providers in Fenton, MO by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.