Desiree Greaves, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

P11333 Issued in ID

Practice address

305 W Quinn Rd
Pocatello, ID 83201-4988

Phone

(208) 238-4049

Fax

(208) 238-4046

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1699503995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 CHESHIRE AVE",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012245",
            "telephone_number": "208-317-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014988",
            "telephone_number": "208-238-4049",
            "fax_number": "208-238-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREAVES",
        "first_name": "DESIREE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ID",
            "license": "P11333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Graham
• Stephen B Grandy, DDS
• Derek Shaune Grantham
• Levi Graves
• Taura Graybill
• Aaron S Green
• Daniel A Green
• Felicia Green, PHARMD
• Lindsay Dawn Green, SLP
• Michele Renee Green

• Pharmacist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Pharmacist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.