Active NPI
Greg C Upham Jr., PHARMD
- Pharmacist
- Memphis, TN
National Provider Identifier
1659501245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 33570
- Practice address
- 8700 W Trail Lake Dr Ste 205
Memphis, TN 38125-8205 - Phone
- (423) 276-4642
- NPI assigned
- Jul 17, 2009
- Last updated
- Dec 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202210507 | VA | |
| Pharmacist | 183500000X | PS0044823 | FL | |
| Pharmacist | 183500000X | 33570 | TN | Primary |
Addresses
Primary practice location
8700 W Trail Lake Dr Ste 205
Memphis, TN 38125-8205
Mailing address
8700 W Trail Lake Dr Ste 205
Memphis, TN 38125-8205
Phone (901) 309-1404
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0044823 | FL | MD | Pharmacist |
| 33570 | TN | MD | Pharmacist |
| 0202210507 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1659501245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8700 W TRAIL LAKE DR STE 205",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258205",
"telephone_number": "901-309-1404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 W TRAIL LAKE DR STE 205",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381258205",
"telephone_number": "423-276-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UPHAM",
"first_name": "GREG",
"middle_name": "C",
"name_suffix": "Jr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-17",
"last_updated": "2022-12-19",
"certification_date": "2022-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202210507",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS0044823",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- Brittany Lynn Upadhyay, MD
- Victoria Renee Upchurch-Boyland
- Elizabeth Janette Roads Upchurch, M.A., CCC-SLP
- Jamie R Upchurch
- Katherine Anne Upchurch, MS, ATC, CSCS, LAT
- Uplift Industries, Inc. Dba Wheelchair Express
- Khem Raj Uprety
- Upscalehealthcarellc
- James Jeremiah Upshaw, M.D.
- Sarah Elaine Upton, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.