Healthcare Provider Details

I. General information

NPI: 1639724222
Provider Name (Legal Business Name): MICHAEL GREINER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2019
Last Update Date: 08/16/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8055 SHERIDAN BLVD
ARVADA CO
80003-1910
US

IV. Provider business mailing address

8055 SHERIDAN BLVD
ARVADA CO
80003-1910
US

V. Phone/Fax

Practice location:
  • Phone: 303-487-5325
  • Fax: 303-487-5326
Mailing address:
  • Phone: 303-487-5325
  • Fax: 303-487-5326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPHA.0022807
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: