NPIMap

Organization Active NPI

Greenfield Pharmacy Inc

Doing business as Greenfield Pharmacy

  • Community/Retail Pharmacy
  • Greenfield, MO
National Provider Identifier
1538143227
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PS004679 Issued in MO
Legal business name
GREENFIELD PHARMACY INC
Doing business as
Greenfield Pharmacy
Practice address
105 N Grand St
Ste 1
Greenfield, MO 65661-8198
Phone
(417) 637-2909
Fax
(417) 637-5621
NPI assigned
Dec 6, 2005
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Randy Meents, PHARMDNPI 1164407557
Title
President
Phone
(417) 637-2909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PS004679 MO Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

105 N Grand St
Ste 1
Greenfield, MO 65661-8198

Mailing address

PO Box 158
Greenfield, MO 65661-0158
Phone (417) 637-2909

Other names 1

  • GREENFIELD PHARMACY 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1538143227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656610158",
            "telephone_number": "417-637-2909",
            "fax_number": "417-637-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N GRAND ST",
            "address_2": "STE 1",
            "city": "GREENFIELD",
            "state": "MO",
            "postal_code": "656618198",
            "telephone_number": "417-637-2909",
            "fax_number": "417-637-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MEENTS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "417-637-2909",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "PS004679",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.