Active NPI
Green Harbour Pharmacy Inc
- Pharmacy
- Redlands, CA
National Provider Identifier
1467865220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.