MEDICARE: GREGORY PHARMA PROFESSIONAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1942136882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREGORY PHARMA PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	4500 SUNNY ISLE STE 41
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4500 SUNNY ISLE STE 41
Second Line	:
City	:	CHRISTIANSTED
State	:	VI
Zip	:	00820-4423
Country	:	US
Telephone Number	:	340-719-6100
Fax Number	:

Authorized Official
Title or Position	:	PHARMACIST
Name	:	ANWAR GREGORY
Credential	:	PHARM D
Telephone Number	:	340-643-7301

Provider Enumeration Date	:	06/19/2026
Last Update Date	:	06/19/2026

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