Healthcare Provider Details

I. General information

NPI: 1568546901
Provider Name (Legal Business Name): GREY DOG INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8950 N KENDALL DR SUITE 102
MIAMI FL
33176-2144
US

IV. Provider business mailing address

8950 N KENDALL DR SUITE 102
MIAMI FL
33176
US

V. Phone/Fax

Practice location:
  • Phone: 305-273-8221
  • Fax: 305-273-0241
Mailing address:
  • Phone: 305-273-8221
  • Fax: 305-273-0241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH13835
License Number StateFL

VIII. Authorized Official

Name: GERALD GEIST
Title or Position: RPH/PRESIDENT
Credential: PHARMB, RPH
Phone: 305-273-8221