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1508279571 NPI number — ANDREW GREIBROK PHARM.D.

NPI Number: 1508279571
Health Care Provider/Practitioner: ANDREW GREIBROK PHARM.D.

Information about “1508279571” NPI (ANDREW GREIBROK PHARM.D.) exists in 1508279571 in HTML format HTML  |  1508279571 in plain Text format TXT  |  1508279571 in PDF (Portable Document Format) PDF  |  1508279571 in an XML format XML  formats.

NPI Number : 1508279571 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508279571",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GREIBROK",
    "FirstName": "ANDREW",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PHARM.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "15474 W GREENWAY RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SURPRISE",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85374-4348",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "623-584-1964",
    "MailingAddressFaxNumber": "623-544-2359",
    "FirstLinePracticeLocationAddress": "15474 W GREENWAY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SURPRISE",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85374-4348",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "623-584-1964",
    "PracticeLocationAddressFaxNumber": "623-544-2359",
    "EnumerationDate": "06/08/2014",
    "LastUpdateDate": "06/08/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "183500000X",
        "TaxonomyName": "Pharmacist",
        "LicenseNumber": "S018801",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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