NPIMap

Organization Active NPI

Greenleaf Pharmacy LLC LTC

  • Long Term Care Pharmacy
  • Brighton, MA
National Provider Identifier
1649092032
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GREENLEAF PHARMACY LLC LTC
Practice address
1558 Commonwealth Ave
Brighton, MA 02135-5033
Phone
(617) 566-2281
Fax
(617) 232-4084
NPI assigned
Oct 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Uyen Le-Kong, PHARMDNPI 1164289575
Title
Pharmacist/Co-Owner
Phone
(617) 566-2281

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
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

1558 Commonwealth Ave
Brighton, MA 02135-5033

Mailing address

1558 Commonwealth Ave
Brighton, MA 02135-5033
Phone (617) 566-2281

National Provider Directory

National Provider Directory
Tax ID family
Greenleaf Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1558 Commonwealth Ave
Brighton, MA 02135
Phone (617) 566-2281

Practitioners & affiliated clinicians

Practitioners 3

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": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1649092032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355033",
            "telephone_number": "617-566-2281",
            "fax_number": "617-232-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355033",
            "telephone_number": "617-566-2281",
            "fax_number": "617-232-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF PHARMACY LLC LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "LE-KONG",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "PHARMACIST/CO-OWNER",
        "authorized_official_telephone_number": "617-566-2281",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.