Greenville Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

02063330005585 Issued in OH

Legal business name

GREENVILLE PHARMACY INC.

Practice address

530 S Broadway St
Greenville, OH 45331-1927

Phone

(937) 548-2424

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Paul Bonfiglio

Title

Pharmacist

Phone

(937) 548-4515

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396949558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311927",
            "telephone_number": "937-548-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 S BROADWAY ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311927",
            "telephone_number": "937-548-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONFIGLIO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "937-548-4515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "02063330005585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Greenville, OH
• Providers in Greenville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.