Organization Active NPI

Greenleaf Pharmacy & Homecare LTD

  • Pharmacist
  • Gurnee, IL
National Provider Identifier
1063573467
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
GREENLEAF PHARMACY & HOMECARE LTD
Practice address
15 Tower CT Ste 195
Gurnee, IL 60031-3340
Phone
(847) 336-3455
Fax
(847) 596-7250
NPI assigned
Dec 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jagga R Grandhi, RPH
Title
Incharge Pharmacist
Phone
(847) 336-3455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X IL Primary

Addresses

Primary practice location

15 Tower CT Ste 195
Gurnee, IL 60031-3340

Mailing address

15 Tower CT Ste 195
Gurnee, IL 60031-3340
Phone (847) 336-3455

National Provider Directory

National Provider Directory

Locations

15 Tower Ct
Ste 195
Gurnee, IL 60031
Phone (847) 336-3455

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063573467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 195",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-336-3455",
            "fax_number": "847-596-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TOWER CT STE 195",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313340",
            "telephone_number": "847-336-3455",
            "fax_number": "847-596-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF PHARMACY & HOMECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRANDHI",
        "authorized_official_first_name": "JAGGA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INCHARGE PHARMACIST",
        "authorized_official_telephone_number": "847-336-3455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.