Organization Active NPI

Greeneview Pharmacy LLC

  • Community/Retail Pharmacy
  • Jamestown, OH
National Provider Identifier
1487074183
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY.022422450-03 Issued in OH
Legal business name
GREENEVIEW PHARMACY LLC
Practice address
4940 Cottonville Rd
Jamestown, OH 45335-1522
Phone
(937) 675-6500
Fax
(937) 675-6540
NPI assigned
Apr 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Todd TackageNPI 1518553833
Title
Member
Phone
(740) 572-1561

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PMY.022422450-03 OH Primary

Addresses

Primary practice location

4940 Cottonville Rd
Jamestown, OH 45335-1522

Mailing address

4940 Cottonville Rd
Jamestown, OH 45335-1522
Phone (937) 675-6500

Other identifiers 2

IdentifierTypeStateIssuer
0108212MedicaidOH
2145658OtherPK

Other names 1

  • IHS PHARMACY-JAMESTOWN Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1487074183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 COTTONVILLE RD",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351522",
            "telephone_number": "937-675-6500",
            "fax_number": "937-675-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 COTTONVILLE RD",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453351522",
            "telephone_number": "937-675-6500",
            "fax_number": "937-675-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENEVIEW PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "TACKAGE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "740-572-1561"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY.022422450-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0108212",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2145658",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS PHARMACY-JAMESTOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jamestown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.