GPG LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PCY.0002314 Issued in CT

Legal business name

GPG LLC

Doing business as

Greenwich Pharmacy

Practice address

118 Main St
New Canaan, CT 06840-4709

Phone

(203) 801-0808

Fax

(203) 801-0707

NPI assigned

Jun 29, 2015

Organization subpart

No

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

Authorized official

Name

Dmitri Daniarov

Title

Member

Phone

(800) 800-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GREENWICH PHARMACY Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine V Jacob, PHARMD

  • Pharmacist
  • Stamford, CT
  • NPI 1124526751
  NPD (past)
• Enrico Raponi

  • Pharmacist
  • New Canaan, CT
  • NPI 1689224677
  NPD (past)
• James Rico Jr., PHARMD.

  • Pharmacist
  • New Canaan, CT
  • NPI 1710430954
  NPD (past)
• Vladlena Kovalevskaya

  • Pharmacist
  • Brooklyn, NY
  • NPI 1609358258
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1063894871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404709",
            "telephone_number": "203-801-0808",
            "fax_number": "203-801-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MAIN ST",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404709",
            "telephone_number": "203-801-0808",
            "fax_number": "203-801-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "DANIAROV",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "800-800-0000"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CT",
            "license": "PCY.0002314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2152977",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWICH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendall Gilbert, RN
• Laura Marie Gilbert
• Jon Gold
• Joseph F Goldberg, MD
• Lisa Goldenberg, L.C.S.W.
• Elizabeth J Granfield, MSW LCSW
• Megan E Grasso, LCSW
• Delayne Gratopp, NMD
• Jay Irwin Greenblatt, RPH
• Arthur Greenspon, LADC

• Community/Retail Pharmacy in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Community/Retail Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.