Green Valley Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PO3148 Issued in MD

Legal business name

GREEN VALLEY PHARMACY

Practice address

11791 Fingerboard Rd
Suite 16
Monrovia, MD 21770-9263

Phone

(301) 865-2200

Fax

(301) 865-2212

NPI assigned

Jun 20, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Shrader, RPH

Title

Pharmacist/Owner

Phone

(301) 371-7835

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Green Valley Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Green Valley Pharmacy

  • Community/Retail Pharmacy
  • Monrovia, MD
  • NPI 1306981436
  NPD tax ID

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1104862135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11791 FINGERBOARD RD",
            "address_2": "SUITE 16",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709263",
            "telephone_number": "301-865-2200",
            "fax_number": "301-865-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11791 FINGERBOARD RD",
            "address_2": "SUITE 16",
            "city": "MONROVIA",
            "state": "MD",
            "postal_code": "217709263",
            "telephone_number": "301-865-2200",
            "fax_number": "301-865-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SHRADER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "301-371-7835",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "PO3148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2127199",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Michael Demary, R.PH.
• Kimberly Epstein Digiorgio, PHD
• Pamela Jean Eaton, CRNP-A MSN
• Frederick Christian Counseling, LLC (Frederick Christian Counseling)
• Grawelk Health System LLC
• Green Valley Pharmacy
• Leah C Griswold, D.C.
• Lydia Nana Ama Gyamfi
• Sylvia Haber, RPH
• Stephen Henry, DPT

• Community/Retail Pharmacy in Monrovia, MD
• Providers in Monrovia, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.