Organization Active NPI

Greenway Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1235686718
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
034793 Issued in NY
Legal business name
GREENWAY PHARMACY INC
Practice address
644 Rogers Ave
Brooklyn, NY 11226-1502
Phone
(718) 462-2029
Fax
(718) 462-2026
NPI assigned
Sep 1, 2016
Last updated
Sep 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mr. Edris Vincent
Title
President
Phone
(718) 462-2029

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 034793 NY Primary

Addresses

Primary practice location

644 Rogers Ave
Brooklyn, NY 11226-1502

Mailing address

644 Rogers Ave
Brooklyn, NY 11226-1502
Phone (718) 462-2029

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1235686718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 ROGERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261502",
            "telephone_number": "718-462-2029",
            "fax_number": "718-462-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 ROGERS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112261502",
            "telephone_number": "718-462-2029",
            "fax_number": "718-462-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "EDRIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-462-2029",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.