Active NPI
Greeneview Pharmacy LLC
- Community/Retail Pharmacy
- Jamestown, OH
National Provider Identifier
1487074183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PMY.022422450-03
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd Tackage
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0108212 | Medicaid | OH | |
| 2145658 | Other | PK |
Other names 1
- IHS PHARMACY-JAMESTOWN
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Jamestown, OH
- NPI 1518553833
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.