Organization Active NPI

Greenfield Pharmacy Inc

Doing business as Greenfield Pharmacy

  • Community/Retail Pharmacy
  • Greenfield, CA
National Provider Identifier
1184895138
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY51553 Issued in CA
Legal business name
GREENFIELD PHARMACY INC
Doing business as
Greenfield Pharmacy
Practice address
333 El Camino Real
Greenfield, CA 93927-5131
Phone
(831) 674-5949
Fax
(831) 674-2955
NPI assigned
Mar 18, 2008
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
John McElmoyl, PHARM DNPI 1912915570
Title
Owner
Phone
(831) 674-5949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY51553 CA Primary

Addresses

Primary practice location

333 El Camino Real
Greenfield, CA 93927-5131

Mailing address

PO Box 305
Greenfield, CA 93927-0305
Phone (831) 674-5949

Other identifiers 2

IdentifierTypeStateIssuer
2047883OtherPK
PHA190560MedicaidCA

Other names 1

  • GREENFIELD PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

33 El Camino Real
Greenfield, CA 93927
Phone (831) 674-5949

333 El Camino Real
Greenfield, CA 93927
Phone (831) 674-5949

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1184895138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939270305",
            "telephone_number": "831-674-5949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 EL CAMINO REAL",
            "city": "GREENFIELD",
            "state": "CA",
            "postal_code": "939275131",
            "telephone_number": "831-674-5949",
            "fax_number": "831-674-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "MCELMOYL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-674-5949",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY51553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2047883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA190560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.