Greenport Drugs LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034143 Issued in NY

Legal business name

GREENPORT DRUGS LLC

Doing business as

Greenport Drugs LLC

Practice address

74825A Main Rd
Greenport, NY 11944-2830

Phone

(631) 477-1222

Fax

(631) 477-1225

NPI assigned

Apr 28, 2016

Last updated

Sep 19, 2025By 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

Lester Eisenberg

Title

Owner

Phone

(631) 477-1222

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greenport Drugs LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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.

• Lester Eisenberg, RPH

  • Pharmacist
  • Southold, NY
  • NPI 1578880092
  NPD
• Lester Eisenberg, OD

  • Optometrist
  • Fort Worth, TX
  • NPI 1316934136
  NPD (past)

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1174978084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74825A MAIN ROAD",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "11944",
            "telephone_number": "631-477-1222",
            "fax_number": "631-477-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74825A MAIN RD",
            "city": "GREENPORT",
            "state": "NY",
            "postal_code": "119442830",
            "telephone_number": "631-477-1222",
            "fax_number": "631-477-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENPORT DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "EISENBERG",
        "authorized_official_first_name": "LESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-477-1222"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2163829",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenport Drugs LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Renee F. Fischer, R.N.
• Traci Fox Rongo, MSPT
• Christine Marie Franke, MS APRN BC
• Farheen Gaffar, PA-C
• Caprice Nichole Grace, RN
• Greenport Union Free School District
• Delaney Shea Guard, PT
• Katherine Joana Guzman, MD
• Negin Hajizadeh, MD, MPH
• Ahmed Hassad

• Community/Retail Pharmacy in Greenport, NY
• Providers in Greenport, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.