NPIMap

Organization Active NPI

Greenville Drug Store Inc

  • Pharmacist
  • Norwich, CT
National Provider Identifier
1174509939
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
731 Issued in CT
Legal business name
GREENVILLE DRUG STORE INC
Practice address
213 Central Ave
Norwich, CT 06360-3801
Phone
(860) 889-9857
Fax
(860) 886-0950
NPI assigned
Dec 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John A Kiszkiel II, RPH
Title
President
Phone
(860) 889-9857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 731 CT Primary

Addresses

Primary practice location

213 Central Ave
Norwich, CT 06360-3801

Mailing address

213 Central Ave
Norwich, CT 06360-3801
Phone (860) 889-9857

National Provider Directory

National Provider Directory
Tax ID family
Greenville Drug Store Inc2 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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174509939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 CENTRAL AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603801",
            "telephone_number": "860-889-9857",
            "fax_number": "860-886-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 CENTRAL AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063603801",
            "telephone_number": "860-889-9857",
            "fax_number": "860-886-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KISZKIEL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-889-9857",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.