Green Leaf Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

036029 Issued in NY

Legal business name

GREEN LEAF PHARMACY INC

Doing business as

SURF AVENUE PHARMACY

Practice address

2115 Surf Ave
Brooklyn, NY 11224-2108

Phone

(718) 266-6111

Fax

(718) 266-2000

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Veranika Spetaliun

Title

President

Phone

(718) 266-6111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SURF AVENUE PHARMACY Doing business as

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1801300645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242108",
            "telephone_number": "718-266-6111",
            "fax_number": "718-266-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 SURF AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242108",
            "telephone_number": "718-266-6111",
            "fax_number": "718-266-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SPETALIUN",
        "authorized_official_first_name": "VERANIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-266-6111"
    },
    "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": "036029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2174329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SURF AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SURF AVENUE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Sep 19, 2025; 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.