Healthcare Provider Details

I. General information

NPI: 1942136882
Provider Name (Legal Business Name): GREGORY PHARMA PROFESSIONAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 SUNNY ISLE STE 41
CHRISTIANSTED VI
00820-4423
US

IV. Provider business mailing address

4500 SUNNY ISLE STE 41
CHRISTIANSTED VI
00820-4423
US

V. Phone/Fax

Practice location:
  • Phone: 340-719-6100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ANWAR GREGORY
Title or Position: PHARMACIST
Credential: PHARM D
Phone: 340-643-7301