Organization Active NPI

Green Specialty Pharmacy

  • Community/Retail Pharmacy
  • Flint, MI
National Provider Identifier
1154415560
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301008892 Issued in MI
Legal business name
GREEN SPECIALTY PHARMACY
Practice address
G3333 Beecher Rd
B
Flint, MI 48532-3619
Phone
(810) 230-9900
Fax
(810) 230-9988
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Manish Patel, RPH
Title
President
Phone
(810) 230-9900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 5301008892 MI Primary
Specialty Pharmacy 3336S0011X 5301008892 MI

Addresses

Primary practice location

G3333 Beecher Rd
B
Flint, MI 48532-3619

Mailing address

G3333 Beecher Rd # B
Flint, MI 48532-3619
Phone (810) 230-9900

Other identifiers 2

IdentifierTypeStateIssuer
2368858OtherOTHER ID NUMBER
2368858OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • BENZER PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

G3333 Beecher Rd
#B
Flint, MI 48532
Phone (810) 230-8600

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1154415560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3333 BEECHER RD # B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323619",
            "telephone_number": "810-230-9900",
            "fax_number": "810-230-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3333 BEECHER RD",
            "address_2": "B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323619",
            "telephone_number": "810-230-9900",
            "fax_number": "810-230-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-230-9900",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301008892",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "MI",
            "license": "5301008892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "2368858",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2368858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BENZER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.