Active NPI
Susan Grey, PHARMD, RPH
- Pharmacist
- Jamestown, NY
National Provider Identifier
1750001186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068769
- Practice address
- 50 S Main St
Jamestown, NY 14701-6633 - Phone
- (716) 664-2650
- NPI assigned
- Aug 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 021700 | KY | |
| Pharmacist | 183500000X | 068769 | NY | Primary |
Addresses
Primary practice location
50 S Main St
Jamestown, NY 14701-6633
Mailing address
8326 Reed Hill Rd
Cattaraugus, NY 14719-9640
Phone (716) 397-9442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068769I | Other | NY | IMMUNIZING PHARMACIST |
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021700 | KY | MD | Pharmacist |
| 068769 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Rite Aid of New York Inc | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients | |
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Rite Aid Pharmacy 10870
- Community/Retail Pharmacy
- Jamestown, NY
- NPI 1801995071
-
dba Rite Aid Pharmacy 00568
- Community/Retail Pharmacy
- Jamestown, NY
- NPI 1346339074
-
dba Rite Aid Pharmacy 03733
- Community/Retail Pharmacy
- New York, NY
- NPI 1639288129
-
dba Rite Aid Pharmacy 11268
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1750001186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8326 REED HILL RD",
"city": "CATTARAUGUS",
"state": "NY",
"postal_code": "147199640",
"telephone_number": "716-397-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 S MAIN ST",
"city": "JAMESTOWN",
"state": "NY",
"postal_code": "147016633",
"telephone_number": "716-664-2650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "SUSAN",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "021700",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068769",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IMMUNIZING PHARMACIST",
"identifier": "068769I",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamestown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.