Greenleaf Apothecary, LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

60006356A Issued in IN

Legal business name

GREENLEAF APOTHECARY, LLC

Practice address

10154 Brooks School Rd
Fishers, IN 46037-3842

Phone

(317) 850-8583

NPI assigned

Sep 7, 2013

Last updated

Oct 28, 2013By 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

Dr. Sina Semsarzadeh, PHARM.D.

Title

Pharmacist and Owner

Phone

(317) 850-8583

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1378512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382918400000",
    "number": "1659706745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 BROOKS SCHOOL RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373842",
            "telephone_number": "317-850-8583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10154 BROOKS SCHOOL RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460373842",
            "telephone_number": "317-850-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF APOTHECARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-07",
        "last_updated": "2013-10-28",
        "status": "A",
        "authorized_official_last_name": "SEMSARZADEH",
        "authorized_official_first_name": "SINA",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "317-850-8583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006356A",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "IN",
            "license": "60006356A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Ryan Green, BCBA
• Tonya Lynn Green, NP-C
• Angela L Greenaway, DDS
• Reginald Greene
• Brianna Greenidge
• Erica Dee Greenlee
• Andrew Greenshner, PT
• Jarrod Greer
• Jacelyn Greeson
• Heather Renae Gregg, NP-C

• Compounding Pharmacy in Fishers, IN
• Providers in Fishers, IN by specialty
• Compounding Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2013; 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.