Green Health Integrative & Wellness Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY

Doing business as

Green Health Pharmacy

Practice address

2898 Dale Blvd Unit 105
Woodbridge, VA 22193-1118

Phone

(703) 499-2373

NPI assigned

May 9, 2018

Last updated

May 9, 2018By 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. Kwame Binfo Ennin, PHARMDNPI 1134419013

Title

Ceo/Managing Practitioner

Phone

(703) 499-2373

Specialties & licenses 1

Addresses

Other names 1

• Green Health Pharmacy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kwame Binfo Ennin, PHARMD

  • Pharmacist
  • Tappahannock, VA
  • NPI 1134419013
  NPD (past) Authorized official

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1700375318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 TICKET WAY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221936138",
            "telephone_number": "703-499-2373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2898 DALE BLVD UNIT 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221931118",
            "telephone_number": "703-499-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "ENNIN",
        "authorized_official_first_name": "KWAME",
        "authorized_official_middle_name": "BINFO",
        "authorized_official_title_or_position": "CEO/MANAGING PRACTITIONER",
        "authorized_official_telephone_number": "703-499-2373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Health Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Prince William Area Community Health Center Inc (Lunera Health)
• Greater Prince William Area Community Health Center Inc (Lunera Pharmacy Woodbridge)
• Greater Prince William Area Community Heatlh Center (Greater Prince William Community Health Center Dental Clinic)
• Greater Washington Arthritis Rheumatology & Octeoporosis Ctr
• Green Acres Plumbing, LLC
• Green Home Care Agency, LLC
• Green Life Home Care, LLC
• Caitlin Green
• Zakevia D Green, PHD
• Eran Greenberg, MD

• Community/Retail Pharmacy in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.