Active NPI
Stephanie Gregg
- Pharmacotherapy Pharmacist
- New York, NY
National Provider Identifier
1508336751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 061221
- Practice address
- 1 Gustave L Levy PL
New York, NY 10029-6504 - Phone
- (347) 638-4286
- NPI assigned
- Nov 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 061221 | NY | Primary |
Addresses
Primary practice location
1 Gustave L Levy PL
New York, NY 10029-6504
Mailing address
65 Roosevelt Ave
Hasbrouck Heights, NJ 07604-1009
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
| License | State | Type | Specialty |
|---|---|---|---|
| 061221 | NY | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1508336751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 ROOSEVELT AVE",
"city": "HASBROUCK HEIGHTS",
"state": "NJ",
"postal_code": "076041009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GUSTAVE L LEVY PL",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296504",
"telephone_number": "347-638-4286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGG",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-30",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NY",
"license": "061221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.