Provider Demographics
NPI:1982928958
Name:ZEHNER, GREG EDWARD (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:GREG
Middle Name:EDWARD
Last Name:ZEHNER
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-2605
Mailing Address - Country:US
Mailing Address - Phone:212-233-0333
Mailing Address - Fax:212-233-0444
Practice Address - Street 1:165 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-2605
Practice Address - Country:US
Practice Address - Phone:212-233-0333
Practice Address - Fax:212-233-0444
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-19
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05217111835P0018X
PARP4412851835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02829918Medicaid
5793400001Medicare NSC