Greentree Pharmacy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREENTREE PHARMACY LLC

Doing business as

Greentree Pharmacy

Practice address

301 S Kirkwood Rd
Kirkwood, MO 63122-6117

Phone

(314) 394-2404

Fax

(314) 394-2120

NPI assigned

Sep 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul Matthew Hueseman, PHARMD

Title

Owner/Manager

Phone

(314) 394-2404

Specialties & licenses 1

Addresses

Other names 1

• GREENTREE PHARMACY Doing business as

Locations

Practitioners 1

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

• Patricia Chollet, RPH

  • Pharmacist
  • Kirkwood, MO
  • NPI 1417382227
  NPD (past)

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1215288626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226117",
            "telephone_number": "314-394-2404",
            "fax_number": "314-394-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S KIRKWOOD RD",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226117",
            "telephone_number": "314-394-2404",
            "fax_number": "314-394-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTREE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "HUESEMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "314-394-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENTREE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Matthew Godinez
• Toni Annette Goins-Crank, D.D.S., M.S.
• Meghan Elizabeth Gray, LBA, BCBA
• Timothy Grayem, DDS
• Greentree Audiology Inc
• Kim Grega, M.ED, LPC
• Denise Renee Grider, MS, ATC, CSCS, PES
• Kathleen Ann Griffith, MS, CCC-SLP
• Dawn Gross, MSW, LCSW
• Lauren Elizabeth Groszek, DPT

• Durable Medical Equipment & Medical Supplies in Kirkwood, MO
• Providers in Kirkwood, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.