Greenhaw Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1-13638 Issued in KS

Legal business name

GREENHAW PHARMACY

Practice address

508 S Ash St
Hillsboro, KS 67063-1559

Phone

(620) 947-3784

Fax

(620) 947-2801

NPI assigned

Jul 23, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patricia Greenhaw

Title

Owner

Phone

(620) 947-3784

Specialties & licenses 2

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1003071622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 S ASH ST",
            "address_2": "PO BOX 188",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631559",
            "telephone_number": "620-947-3784",
            "fax_number": "620-947-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 S ASH ST",
            "city": "HILLSBORO",
            "state": "KS",
            "postal_code": "670631559",
            "telephone_number": "620-947-3784",
            "fax_number": "620-947-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHAW PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "GREENHAW",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-947-3784"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "1-13638",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "1-13638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100441080A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406440B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100441080B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200406440A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Kathryn Fish, LPC
• Amber Angelina Jewel Frederick
• Benjamin P Fritsch, PTA
• Donna Jane Glover, LPC-T
• Nancy Graber, RN
• Greenhaw Pharmacy, Inc
• Greenhaw Pharmacy, Inc
• Grene Vision Group LLC
• Tristin Danielle Headley
• Herington Hospital Inc

• All providers in Hillsboro, KS
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.