Green Line Apothecary LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GREEN LINE APOTHECARY LLC

Practice address

245 Main St
Wakefield, RI 02879-3527

Phone

(401) 360-3400

NPI assigned

Apr 24, 2019

Organization subpart

No

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

Authorized official

Name

Christina Procaccianti

Title

Ceo

Phone

(401) 360-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1053975102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793527",
            "telephone_number": "401-360-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 N Main St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045744",
            "country_code": "US",
            "telephone_number": "401-360-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREEN LINE APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "PROCACCIANTI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "401-360-3200"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Erin Graham, D.O.
• John D Graham, MD
• Heather Mae Grant, PHARM.D.
• Patricia F Graves, LICSW
• Green Line Apothecary LLC
• Green Line Express LLC
• Terese Tanski Gregg, LICSW
• James Francis Griffin, D.O.
• Patricia Ann Grimes
• Grounded in Growth, LLC

• Long Term Care Pharmacy in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Long Term Care Pharmacy in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.