Greenhaven Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

License

PHY51814 Issued in CA

Legal business name

GREENHAVEN PHARMACY

Doing business as

The ecbm group LLC

Practice address

7248 S Land Park Dr Ste 116
Sacramento, CA 95831-3661

Phone

(916) 378-5757

Fax

(916) 290-6639

NPI assigned

Mar 13, 2014

Organization subpart

No

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

Authorized official

Name

Eddy C Pon, RPH

Title

Manager

Phone

(916) 290-6639

Specialties & licenses 1

Addresses

Other names 1

• The ecbm group LLC Doing business as

Locations

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1528484631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 116",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-378-5757",
            "fax_number": "916-290-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 116",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-378-5757",
            "fax_number": "916-290-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHAVEN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "PON",
        "authorized_official_first_name": "EDDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-290-6639",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY51814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The ecbm group LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel June Greenfield, LCSW
• David G Greenhalgh, MD
• Greenhaven Family Dental LLC
• Greenhaven Family Practice, Inc
• Greenhaven Optometry
• Johnny Greenhaw, LPCC
• Catherine Greenhouse, M.S. CCC-A
• Brandy L Greening
• Mya Greenlee
• Montana Greeno

• Pharmacy in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.