Green River Medical Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREEN RIVER MEDICAL CENTER, INC.

Doing business as

Green River Medical Center Pharmacy

Practice address

585 West Main Street
Green River, UT 84525

Phone

(435) 564-3434

Fax

(435) 564-3214

NPI assigned

Mar 22, 2019

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

GREEN RIVER MEDICAL CENTER, INC.As reported in NPPES

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

Authorized official

Name

Paula Jean Dunham

Title

Executive Director

Phone

(435) 564-0213

Specialties & licenses 1

Addresses

Other names 1

• Green River Medical Center Pharmacy Doing business as

Electronic endpoints 1

Tax ID family

Green River Medical Center Inc2 organizations share this tax ID, including this one

Part of

Green River Medical Center Inc

Other organizations with this tax ID 1

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

• Green River Medical Center Inc

  dba Carbon Medical Pharmacy Green River

  • Community/Retail Pharmacy
  • Green River, UT
  • NPI 1841540077
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: grmcpharmacy@grmc.biz

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689134868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "GREEN RIVER",
            "state": "UT",
            "postal_code": "845250417",
            "telephone_number": "435-564-3434",
            "fax_number": "435-564-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 WEST MAIN STREET",
            "city": "GREEN RIVER",
            "state": "UT",
            "postal_code": "84525",
            "telephone_number": "435-564-3434",
            "fax_number": "435-564-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN RIVER MEDICAL CENTER, INC.",
        "enumeration_date": "2019-03-22",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "435-564-0213"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GRMCPharmacy@grmc.biz",
            "affiliation": "N",
            "endpointDescription": "Pharmacist's Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "585 West Main Street",
            "city": "Green River",
            "state": "UT",
            "country_code": "US",
            "postal_code": "84525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green River Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lexis Michelle Ely, CMHC
• Green River Medical Center Inc (Carbon Medical Pharmacy Green River)
• Green River Medical Center Inc (Two Rivers Community Health)
• Brouquelyn Mia Hatfield-Knight, RDH BSDH
• Kim Thyrill McFarlane, MPAS, PA-C
• Tyler J Rundell, PA-C
• Zackery N Taylor, PHARMD/MBA
• Shannon Taylor Thurston, PA-C

• Community/Retail Pharmacy in Green River, UT
• Providers in Green River, UT by specialty
• Community/Retail Pharmacy in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.