Individual provider Active NPI

Jeffrey Brent Greer, PHARM.D., C.RPH,

  • Nutrition Support Pharmacist
  • Merritt Island, FL
National Provider Identifier
1821244831
Registry record updated Aug 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Support PharmacistTaxonomy code 1835N1003X
License
PS26808 Issued in FL
Practice address
7125 S Tropical TRL
Merritt Island, FL 32952-6608
Phone
(321) 454-4117
Fax
(321) 452-1550
NPI assigned
Aug 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Support Pharmacist 1835N1003X PS26808 FL Primary

Addresses

Primary practice location

7125 S Tropical TRL
Merritt Island, FL 32952-6608

Mailing address

7125 S. Tropical Trail
Merritt Island, FL 32952
Phone (321) 454-4117

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
PS26808FLMDNutrition Support Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1218240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218240000000",
    "number": "1821244831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 S. TROPICAL TRAIL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32952",
            "telephone_number": "321-454-4117",
            "fax_number": "321-452-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 S TROPICAL TRL",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329526608",
            "telephone_number": "321-454-4117",
            "fax_number": "321-452-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREER",
        "first_name": "JEFFREY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., C.RPH,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-09",
        "last_updated": "2008-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "FL",
            "license": "PS26808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2008; 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.