Active NPI
Edwin Paul Greenman Jr., RPH
- Pharmacist
- Bainbridge, NY
National Provider Identifier
1801955620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 036436
- Practice address
- 19 N Main St
Bainbridge, NY 13733-1210 - Phone
- (607) 967-5143
- Fax
- (607) 967-5441
- NPI assigned
- Dec 7, 2006
- Last updated
- Jun 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 036436 | NY | Primary |
Addresses
Primary practice location
19 N Main St
Bainbridge, NY 13733-1210
Mailing address
10 Main St
Sidney, NY 13838-1135
Phone (607) 563-2166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036436 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bainbridge Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Bainbridge, NY
- NPI 1558420372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1801955620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MAIN ST",
"city": "SIDNEY",
"state": "NY",
"postal_code": "138381135",
"telephone_number": "607-563-2166",
"fax_number": "607-563-8828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 N MAIN ST",
"city": "BAINBRIDGE",
"state": "NY",
"postal_code": "137331210",
"telephone_number": "607-967-5143",
"fax_number": "607-967-5441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENMAN",
"first_name": "EDWIN",
"middle_name": "PAUL",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-07",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "036436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bainbridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.