Organization Active NPI

Greenman Pharmacy Inc

Doing business as saiven pharmacy

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1255564704
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
029609 Issued in NY
Legal business name
GREENMAN PHARMACY INC
Doing business as
saiven pharmacy
Practice address
881 Manhattan Ave
Brooklyn, NY 11222-2227
Phone
(718) 389-0900
Fax
(718) 389-2299
NPI assigned
Sep 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Parimala Kothapally
Title
Supervising Pharmacist
Phone
(718) 389-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 029609 NY Primary

Addresses

Primary practice location

881 Manhattan Ave
Brooklyn, NY 11222-2227

Mailing address

881 Manhattan Ave
Brooklyn, NY 11222-2227
Phone (718) 389-0900

Other identifiers 2

IdentifierTypeStateIssuer
3362299OtherNCPDP PROVIDER IDENTIFICATION NUMBER
03142990MedicaidNY

Other names 1

  • saiven pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1255564704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222227",
            "telephone_number": "718-389-0900",
            "fax_number": "718-389-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 MANHATTAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222227",
            "telephone_number": "718-389-0900",
            "fax_number": "718-389-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENMAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-01",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "KOTHAPALLY",
        "authorized_official_first_name": "PARIMALA",
        "authorized_official_title_or_position": "SUPERVISING PHARMACIST",
        "authorized_official_telephone_number": "718-389-0900"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3362299",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03142990",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "saiven pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2010; 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.