Active NPI
Greensboro Pharmacy, Inc.
- Community/Retail Pharmacy
- Greensboro, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- P00353
- Legal business name
- GREENSBORO PHARMACY, INC.
- Practice address
- 102 S Main St
Greensboro, MD 21639-0490 - Phone
- (410) 482-6256
- Fax
- (410) 482-2469
- NPI assigned
- Feb 13, 2007
- Last updated
- Sep 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Michele Teresa Clough, RPH
- Title
- Owner
- Phone
- (410) 482-6256
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | P00353 | MD | Primary |
Addresses
Primary practice location
102 S Main St
Greensboro, MD 21639-0490
Mailing address
102 S Main St
PO Box 490
Greensboro, MD 21639-0490
Phone (410) 482-6256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201218000782 | MD | Part B Supplier - Mass Immunization (Roster Biller Only) | 1557773371 | Practice locations: Greensboro, MD |
| O20201221001189 | MD | Part B Supplier - Pharmacy | 1557773371 | Practice locations: Greensboro, MD |
| O20210607001596 | MD | Part B Supplier - Independent Clinical Laboratory | 1557773371 | Practice locations: Greensboro, MD |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2188386 | Greensboro Pharmacy | Certificate of waiver | Jul 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Pharmacist
- Greensboro, MD
- NPI 1427636794
-
- Pharmacist
- Stevensville, MD
- NPI 1710312830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726704000000",
"number": "1841332202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S MAIN ST",
"address_2": "PO BOX 490",
"city": "GREENSBORO",
"state": "MD",
"postal_code": "216390490",
"telephone_number": "410-482-6256",
"fax_number": "410-482-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S MAIN ST",
"city": "GREENSBORO",
"state": "MD",
"postal_code": "216390490",
"telephone_number": "410-482-6256",
"fax_number": "410-482-2469"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENSBORO PHARMACY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A",
"authorized_official_last_name": "CLOUGH",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "TERESA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-482-6256",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MD",
"license": "P00353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.
- 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.