Green Leaf Growers

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

GREEN LEAF GROWERS

Practice address

235 Chestnut St FL 1
Springfield, MA 01103-1103

Phone

(978) 726-3319

NPI assigned

Aug 19, 2020

Last updated

Aug 19, 2020By 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

Spurgeon Wamala

Title

Officer

Phone

(978) 726-3319

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1437761715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CHESTNUT ST LOWR LEVEL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031100",
            "telephone_number": "978-726-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CHESTNUT ST FL 1",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031103",
            "telephone_number": "978-726-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF GROWERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "WAMALA",
        "authorized_official_first_name": "SPURGEON",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "978-726-3319"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SPRINGFIELD",
            "affiliation": "N",
            "endpointDescription": "CULTIVATION OF MARIJUANA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "235 Chestnut St Lowr Level",
            "city": "Springfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "011031100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greater Springfield Senior Services, Inc.
• Greater Springfield Surgery Center, LLC
• Barbara A Greco, MD
• Yesenia Greeff, M.D.
• Kelly Ann Greeley
• Carol I Green
• Debora L Green, MD
• Dia Green
• Elicia A. Green, MED
• Gerald Green, MD

• Medical Foods Supplier in Springfield, MA
• Providers in Springfield, MA by specialty
• Medical Foods Supplier in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.