Individual provider Active NPI

Gregory George Dix Jr., RPH

  • Pharmacist
  • Trenton, NJ
National Provider Identifier
1508200569
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02716100 Issued in NJ
Practice address
1400 Stuyvesant Ave PO Box 863
Rutgers Uchc C/O Njdoc
Trenton, NJ 08618
Phone
(609) 292-4036
Fax
(609) 341-9380
NPI assigned
Apr 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI02716100 NJ Primary

Addresses

Primary practice location

1400 Stuyvesant Ave PO Box 863
Rutgers Uchc C/O Njdoc
Trenton, NJ 08618

Mailing address

1400 Stuyvesant Ave
Attn: Rutgers Uchc C/O Njdoc
Trenton, NJ 08625
Phone (609) 292-4036

Other identifiers 1

IdentifierTypeStateIssuer
28RI02716100OtherNJRPH LICENSE FOR NJ

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02716100NJMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1508200569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 STUYVESANT AVE",
            "address_2": "ATTN: RUTGERS UCHC C/O NJDOC",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08625",
            "telephone_number": "609-292-4036",
            "fax_number": "609-341-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 STUYVESANT AVE PO BOX 863",
            "address_2": "RUTGERS UCHC C/O NJDOC",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08618",
            "telephone_number": "609-292-4036",
            "fax_number": "609-341-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIX",
        "first_name": "GREGORY",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-22",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02716100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE FOR NJ",
            "identifier": "28RI02716100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.