Greenwich Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GREENWICH PHARMACY LLC

Practice address

116 Greenwich Ave
Greenwich, CT 06830-5504

Phone

(203) 661-2721

NPI assigned

Jul 30, 2010

Organization subpart

No

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

Authorized official

Name

Dmitri Danairov

Title

Owner

Phone

(203) 661-2721

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenwich Pharmacy LLC Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine V Jacob, PHARMD

  • Pharmacist
  • Stamford, CT
  • NPI 1124526751
  NPD (past)
• Michael Kandchorov, PHARMD

  • Pharmacist
  • Greenwich, CT
  • NPI 1912641127
  NPD (past)
• Christen Noel Luetzow, PHARM. D

  • Pharmacist
  • Greenwich, CT
  • NPI 1750630067
  NPD (past)
• Anastasia Malik

  • Pharmacist
  • Greenwich, CT
  • NPI 1659234474
  NPD (past)

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1679887772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11045 68TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752936",
            "telephone_number": "917-559-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 GREENWICH AVE",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068305504",
            "telephone_number": "203-661-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "DANAIROV",
        "authorized_official_first_name": "DMITRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-661-2721"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0722048",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwich Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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.