Greenville Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

667 Issued in IA

Legal business name

GREENVILLE PHARMACY INC

Practice address

2701 Correctionville Rd
Sioux City, IA 51105-3627

Phone

(712) 258-0113

Fax

(712) 258-0351

NPI assigned

Nov 7, 2006

Last updated

Oct 4, 2012By 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

Mr. Robert P Rehal, PHARMACIST

Title

VP

Phone

(712) 258-0113

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Greenville Pharmacy Inc

  • Long Term Care Pharmacy
  • Sioux City, IA
  • NPI 1811455827
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brice William Buryanek, PHARM.D

  • Pharmacist
  • Akron, IA
  • NPI 1114578010
  NPD (past)
• Kelly Ferris, PHARMD

  • Pharmacist
  • Sioux City, IA
  • NPI 1588484281
  NPD (past)
• James H Rhodes, RPH

  • Pharmacist
  • Sioux City, IA
  • NPI 1194844225
  NPD (past)
• Stephanie Karen Hanson, PHARMD

  • Pharmacist
  • Ronan, MT
  • NPI 1629629423
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1528137015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 CORRECTIONVILLE RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511053627",
            "telephone_number": "712-258-0113",
            "fax_number": "712-258-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CORRECTIONVILLE RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511053627",
            "telephone_number": "712-258-0113",
            "fax_number": "712-258-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "REHAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "712-258-0113",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056531",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Julian Granger, M.D.
• Sandra Kay Swedean Granger, MD
• Kiel Grant, PHARM.D
• Anna Renea Graves
• Dylan C Greene, M.D
• Greenville Pharmacy Inc
• Paul Robert Gregory, M.D.
• Justin Grevengoed
• Teri L Griep Langholz, RN
• Soren Long Grieve, PT

• Community/Retail Pharmacy in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.