Revival Pharms Wellness

Primary specialty

Nutrition Support PharmacistTaxonomy code 1835N1003X

Legal business name

REVIVAL PHARMS WELLNESS

Practice address

603 Highway 6 Ste 3
Ashland, NE 68003-2155

Phone

(817) 454-9750

NPI assigned

Jul 10, 2026

Last updated

Jul 10, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeanne Greisen, RPH

Title

Pharmacist

Phone

(817) 454-9750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783641600000",
    "number": "1699694133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 6 STE 3",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680032155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HIGHWAY 6 STE 3",
            "city": "ASHLAND",
            "state": "NE",
            "postal_code": "680032155",
            "telephone_number": "817-454-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVAL PHARMS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A",
        "authorized_official_last_name": "GREISEN",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "817-454-9750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Nutrition Support",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Silver Street Compounding Pharmacy, Inc.

• Pharmacist in Ashland, NE
• Providers in Ashland, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; 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.