Organization Active NPI

MJ Holdings of Greensboro, LLC

Doing business as Brown-Gardiner Drug Co

  • Community/Retail Pharmacy
  • Greensboro, NC
National Provider Identifier
1083711923
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
04598 Issued in NC
Legal business name
MJ HOLDINGS OF GREENSBORO, LLC
Doing business as
Brown-Gardiner Drug Co
Practice address
2101 N Elm St
Greensboro, NC 27408-5111
Phone
(336) 273-0596
Fax
(336) 279-8354
NPI assigned
Sep 20, 2006
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Shana Leggett, CPHT
Title
Director of Pharmacy Operations
Phone
(336) 520-2053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 04598 NC Primary

Addresses

Primary practice location

2101 N Elm St
Greensboro, NC 27408-5111

Mailing address

2101 N Elm St
Greensboro, NC 27408-5111
Phone (336) 273-0596

Other identifiers 2

IdentifierTypeStateIssuer
0415034MedicaidNC
2065920OtherPK

Other names 1

  • BROWN-GARDINER DRUG CO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930035289 NC DME Supplier - Pharmacy 2961529409 Practice locations: Greensboro, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Brown-Gardiner Drug Company2101 N Elm St, Greensboro, NC 27408-5111(336) 273-0596 Immunosuppressive Drugs|Nebulizer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

2101 N Elm St
Greensboro, NC 27408
Phone (336) 273-0596

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1083711923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085111",
            "telephone_number": "336-273-0596",
            "fax_number": "336-279-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N ELM ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085111",
            "telephone_number": "336-273-0596",
            "fax_number": "336-279-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ HOLDINGS OF GREENSBORO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "SHANA",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "336-520-2053",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "04598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0415034",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065920",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROWN-GARDINER DRUG CO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.