Individual provider Active NPI

Colleen Greco, PHARM.D.

  • Geriatric Pharmacist
  • Saint Louis, MO
National Provider Identifier
1700479441
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
2001003658 Issued in MO
Practice address
2248 Welsch Industrial CT
Saint Louis, MO 63146-4222
Phone
(314) 356-9830
Fax
(314) 356-9850
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2001003658 MO
Pharmacist 183500000X 051.293641 IL
Geriatric Pharmacist 1835G0303X 051.293641 IL
Geriatric Pharmacist 1835G0303X 2001003658 MO Primary

Addresses

Primary practice location

2248 Welsch Industrial CT
Saint Louis, MO 63146-4222

Mailing address

6 Carriage Crossing CT
Saint Charles, MO 63301-3218
Phone (314) 583-3973

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

LicenseStateTypeSpecialty
051.293641ILMDPharmacist
2001003658MOMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Symbria RX Services St. Louis, LLC PastSince Feb 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1700479441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CARRIAGE CROSSING CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633013218",
            "telephone_number": "314-583-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 WELSCH INDUSTRIAL CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464222",
            "telephone_number": "314-356-9830",
            "fax_number": "314-356-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRECO",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2001003658",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293641",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "IL",
            "license": "051.293641",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "MO",
            "license": "2001003658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.