Greene Van Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

023322 Issued in NY

Legal business name

GREENE VAN PHARMACY CORP

Doing business as

Prospect Drugs

Practice address

94 Greene Ave
Brooklyn, NY 11238-1011

Phone

(718) 783-0890

Fax

(718) 783-0893

NPI assigned

Oct 4, 2005

Organization subpart

No

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

Authorized official

Name

Naveen ParupalliNPI 1699097576

Title

Vice-President

Phone

(718) 783-0890

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• PROSPECT DRUGS Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 4

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

• Naveen Parupalli

  • Pharmacist
  • Brooklyn, NY
  • NPI 1699097576
  NPD Authorized official
• Raghavendra Chede, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1427571025
  NPD
• Robert Celi, RPH

  • Pharmacist
  • Brooklyn, NY
  • NPI 1447574421
  NPD (past)
• Marco J Daniel, PHARM.D

  • Pharmacist
  • Brooklyn, NY
  • NPI 1174770135
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1699762617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381011",
            "telephone_number": "718-783-0890",
            "fax_number": "718-783-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 GREENE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112381011",
            "telephone_number": "718-783-0890",
            "fax_number": "718-783-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE VAN PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "PARUPALLI",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-783-0890"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "023322",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01813432",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROSPECT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greene Avenue Medical PC
• Greene Avenue Medical, PC
• Allison Michelle Greene Jackson, LCSW
• Greene RX Inc (Greene Community Pharmacy)
• Greene RX Inc (greene rx pharmacy LTC)
• Alicia Greene, LMSW
• Amber Lynette Greene
• Andrea Glaessner Greene, MD
• Beverly Ann Greene, PHD
• Brenna Rose Greene

• Community/Retail Pharmacy in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.