Greenwood 65 Low Cost RX

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60004200A Issued in IN

Legal business name

GREENWOOD 65 LOW COST RX

Doing business as

Low Cost Pharmacy

Practice address

988 E Main St
Greenwood, IN 46143-1501

Phone

(317) 888-5373

Fax

(317) 888-0217

NPI assigned

Jul 30, 2006

Last updated

Nov 22, 2016By 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

Steve Hartman

Title

Owner

Phone

(317) 888-5373

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• LOW COST PHARMACY Doing business as

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1366457905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431501",
            "telephone_number": "317-888-5373",
            "fax_number": "317-888-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 E MAIN ST",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431501",
            "telephone_number": "317-888-5373",
            "fax_number": "317-888-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD 65 LOW COST RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-888-5373"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60004200A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027287",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100378390",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOW COST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micaiah Noel Green
• Rebecca Green, DO
• Larry M Greenbaum, MD
• Heather Greenlee, PMHNP-C
• Logan Faye Greenwald
• Greenwood 65 Low Cost RX Inc
• Greenwood Chiropractic, Inc. (Performance Chiropractic and Sports Rehab.)
• Greenwood Community School Corporation
• Greenwood Dental Care
• Greenwood Dermatology PC

• Community/Retail Pharmacy in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.