Active NPI
Courtney Greenberg, PHARMD
- Pharmacist
- Wasilla, AK
National Provider Identifier
1972955011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHAP 2209
- Practice address
- 595 E Parks Hwy # 300
Wasilla, AK 99654-8150 - Phone
- (907) 352-1160
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | PHAP 2209 | AK | Primary |
Addresses
Primary practice location
595 E Parks Hwy # 300
Wasilla, AK 99654-8150
Mailing address
2521 E Mountain Village Dr Ste B
Wasilla, AK 99654-7377
Phone (907) 352-1160
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
| License | State | Type | Specialty |
|---|---|---|---|
| PHAP 2209 | AK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468281600000",
"number": "1972955011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 E MOUNTAIN VILLAGE DR STE B",
"city": "WASILLA",
"state": "AK",
"postal_code": "996547377",
"telephone_number": "907-352-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E PARKS HWY # 300",
"city": "WASILLA",
"state": "AK",
"postal_code": "996548150",
"telephone_number": "907-352-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENBERG",
"first_name": "COURTNEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2016-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "PHAP 2209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.