Individual provider Active NPI

Justin Anthony Greggi, PHARMD

  • Pharmacist
  • Ebensburg, PA
National Provider Identifier
1851944854
Registry record updated May 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP453551 Issued in PA
Practice address
4606 Admiral Peary Hwy
Ebensburg, PA 15931-4203
Phone
(814) 472-5312
NPI assigned
Jul 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP453551 PA Primary

Addresses

Primary practice location

4606 Admiral Peary Hwy
Ebensburg, PA 15931-4203

Mailing address

1412 Moss Creek Rd
Northern Cambria, PA 15714-8306
Phone (814) 421-9502

Other practice location 1

1120 Philadelphia Ave
Northern Cambria, PA 15714-1359
Phone (814) 948-6102

Other identifiers 2

IdentifierTypeStateIssuer
RPI013114OtherPAPENNSYLVANIA BOARD OF PHARMACY
RP453551OtherPAPENNSYLVANIA BOARD OF PHARMACY

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
RP453551PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Pennsylvania LLC PastSince Jul 25, 2019 Accepting new patients
Rite Aid of Pennsylvania LLC PastSince May 17, 2020 Accepting new patients
Rite Aid of Pennsylvania LLC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 3

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1851944854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 MOSS CREEK RD",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157148306",
            "telephone_number": "814-421-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 ADMIRAL PEARY HWY",
            "city": "EBENSBURG",
            "state": "PA",
            "postal_code": "159314203",
            "telephone_number": "814-472-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Northern Cambria",
            "state": "PA",
            "postal_code": "157141359",
            "country_code": "US",
            "telephone_number": "814-948-6102",
            "fax_number": "814-948-5705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREGGI",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-18",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP453551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BOARD OF PHARMACY",
            "identifier": "RPI013114",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BOARD OF PHARMACY",
            "identifier": "RP453551",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ebensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; 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.