Individual provider Active NPI

Gregory K Hairston

  • Pharmacist
  • Sterling, VA
National Provider Identifier
1457625741
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202009720 Issued in VA
Practice address
21398 Price Cascades PLZ
Sterling, VA 20164-6606
Phone
(703) 406-7048
Fax
(703) 406-7045
NPI assigned
Mar 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202009720 VA Primary

Addresses

Primary practice location

21398 Price Cascades PLZ
Sterling, VA 20164-6606

Mailing address

21398 Price Cascades PLZ
Sterling, VA 20164-6606
Phone (703) 406-7048

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

State licenses

LicenseStateTypeSpecialty
0202009720VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1457625741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21398 PRICE CASCADES PLZ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646606",
            "telephone_number": "703-406-7048",
            "fax_number": "703-406-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21398 PRICE CASCADES PLZ",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646606",
            "telephone_number": "703-406-7048",
            "fax_number": "703-406-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "GREGORY",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.