Organization Active NPI

Green Harbour Pharmacy Inc

  • Pharmacy
  • Redlands, CA
National Provider Identifier
1467865220
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GREEN HARBOUR PHARMACY INC
Practice address
1323 W Colton Ave
Suite 120
Redlands, CA 92374-4554
Phone
(909) 666-7551
Fax
(909) 666-5300
NPI assigned
Jun 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Mr. Charles R Green Jr.
Title
Secretary Tresurer
Phone
(909) 666-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X CA Primary

Addresses

Primary practice location

1323 W Colton Ave
Suite 120
Redlands, CA 92374-4554

Mailing address

PO Box 455
Redlands, CA 92373-0141
Phone (909) 666-7551

National Provider Directory

National Provider Directory

Locations

1323 W Colton Ave
Ste 120
Redlands, CA 92374
Phone (909) 666-7551

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1467865220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 455",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923730141",
            "telephone_number": "909-666-7551",
            "fax_number": "909-666-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 W COLTON AVE",
            "address_2": "SUITE 120",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744554",
            "telephone_number": "909-666-7551",
            "fax_number": "909-666-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HARBOUR PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SECRETARY TRESURER",
        "authorized_official_telephone_number": "909-666-7551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.