Individual provider Active NPI

Enjay Taneka Griggs, BACHELOR OF PHARMACY

  • Pharmacist
  • New York, NY
National Provider Identifier
1609533785
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP045602L Issued in PA
Practice address
52 Vanderbilt Ave FL 17
New York, NY 10017-3829
Phone
(646) 813-3001
Fax
(646) 813-9488
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP045602L PA Primary

Addresses

Primary practice location

52 Vanderbilt Ave FL 17
New York, NY 10017-3829

Mailing address

52 Vanderbilt Ave FL 17
New York, NY 10017-3829
Phone (646) 813-3001

Electronic endpoints 4

TypeEndpointUseAffiliation
Other URL 00
Other URL 101010101010101010101010101010100
Other URL 00
Other URL 101010101010101010101010101010100

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
RP045602LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1609533785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 VANDERBILT AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173829",
            "telephone_number": "646-813-3001",
            "fax_number": "646-813-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 VANDERBILT AVE FL 17",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173829",
            "telephone_number": "646-813-3001",
            "fax_number": "646-813-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIGGS",
        "first_name": "ENJAY",
        "middle_name": "TANEKA",
        "name_prefix": "Ms.",
        "credential": "BACHELOR OF PHARMACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045602L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "00",
            "affiliation": "N",
            "address_1": "52 Vanderbilt Ave Fl 17",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "101010101010101010101010101010100",
            "affiliation": "N",
            "address_1": "52 Vanderbilt Ave Fl 17",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "00",
            "affiliation": "N",
            "address_1": "52 Vanderbilt Ave Fl 17",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "101010101010101010101010101010100",
            "affiliation": "N",
            "address_1": "52 Vanderbilt Ave Fl 17",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100173829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 23, 2021; 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.