NPIMap

Organization Active NPI

Green Pharmacy

  • Community/Retail Pharmacy
  • Oak Park, IL
National Provider Identifier
1366736613
Registry record updated Jun 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREEN PHARMACY
Practice address
150 S Oak Park Ave
Unit 307
Oak Park, IL 60302-2984
Phone
(312) 731-7564
NPI assigned
Jun 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2011

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

Authorized official

Name
Mr. Eric Yang
Title
Owner
Phone
(312) 731-7564

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

150 S Oak Park Ave
Unit 307
Oak Park, IL 60302-2984

Mailing address

219 W Buffalo St
New Buffalo, MI 49117-1807

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 11

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1307145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307145600000",
    "number": "1366736613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 W BUFFALO ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S OAK PARK AVE",
            "address_2": "UNIT 307",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022984",
            "telephone_number": "312-731-7564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-04",
        "last_updated": "2011-06-04",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-731-7564",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2011; 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.