Organization Active NPI

Greene RX Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1760234116
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
GREENE RX INC
Doing business as
Greene Community Pharmacy
Practice address
702 Fulton St
Brooklyn, NY 11217-2613
Phone
(718) 834-6368
Fax
(718) 330-2503
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Kalpesh Patel
Title
President
Phone
(201) 706-0901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

702 Fulton St
Brooklyn, NY 11217-2613

Mailing address

702 Fulton St
Brooklyn, NY 11217-2613
Phone (718) 834-6368

Other names 1

  • Greene Community Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20240815002703 NY Part B Supplier - Pharmacy 6709324148 Practice locations: Brooklyn, NY
O20240816003409 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6709324148 Practice locations: Brooklyn, NY
O20250207000298 NY DME Supplier - Pharmacy 6709324148 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Greene Community Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1760234116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172613",
            "telephone_number": "718-834-6368",
            "fax_number": "718-330-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 FULTON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172613",
            "telephone_number": "718-834-6368",
            "fax_number": "718-330-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KALPESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-706-0901"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.