Active NPI
Margaret Anne Greendale, RPH
- Pharmacist
- Coos Bay, OR
National Provider Identifier
1760578694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8169
- Practice address
- 1775 Thompson Road
Coos Bay, OR 97420 - Phone
- (541) 269-8160
- Fax
- (541) 269-2383
- NPI assigned
- Oct 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8169 | OR | Primary |
Addresses
Primary practice location
1775 Thompson Road
Coos Bay, OR 97420
Mailing address
1035 Vine Ave.
Coos Bay, OR 97420
Phone (541) 269-1450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8169 | Other | OR | PHARMACY LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8169 | OR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760578694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 VINE AVE.",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-269-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 THOMPSON ROAD",
"city": "COOS BAY",
"state": "OR",
"postal_code": "97420",
"telephone_number": "541-269-8160",
"fax_number": "541-269-2383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENDALE",
"first_name": "MARGARET",
"middle_name": "ANNE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "8169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE",
"identifier": "8169",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.