Green Pharmacy LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

GREEN PHARMACY LLC

Doing business as

Green Pharmacy

Practice address

501 N Frederick Ave Ste 107B
Gaithersburg, MD 20877-2507

Phone

(202) 270-0900

NPI assigned

Jul 27, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Nadir Shyotis

Title

Owner

Phone

(301) 519-9518

Specialties & licenses 2

Addresses

Other names 1

• Green Pharmacy Doing business as

Locations

Practitioners 2

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

• Jennifer Wolfe, PHARM D.

  • Pharmacist
  • North Potomac, MD
  • NPI 1093066094
  NPD
• Mary Gendi

  • Pharmacist
  • Glen Burnie, MD
  • NPI 1073084422
  NPD (past)

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1124542634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 107B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "202-320-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N FREDERICK AVE STE 107B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772507",
            "telephone_number": "202-270-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "SHYOTIS",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-519-9518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Le Grant, PHARMD
• Harold M Graves III, LCSW-C
• Ella Mae Gray, M.A., LCPC
• Georgia Charlotte Gray
• Greater Maryland Oral Surgery Center LLC
• Cherish Green
• Kayley Rae Green
• Skyler Green
• Haley Renee Greenberg
• Kendall Greene-Herron, LMSW

• Specialty Pharmacy in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Specialty Pharmacy in Maryland

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