Green Line Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREEN LINE PHARMACY INC

Practice address

8157 Lefferts Blvd
Kew Gardens, NY 11415-1728

Phone

(718) 850-5220

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Mikhail Aminov

Title

Owner

Phone

(718) 850-5220

Specialties & licenses 1

Addresses

Other names 1

• Kew Gardens Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Tax ID family

Green Line Pharmacy Inc2 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.

• Green Line Pharmacy Inc

  • Long Term Care Pharmacy
  • Kew Gardens, NY
  • NPI 1417716564
  NPD tax ID

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1851009211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8157 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151728",
            "telephone_number": "718-850-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8157 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151728",
            "telephone_number": "718-850-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-850-5220"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kew Gardens Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jay Goodman, DDS
• Hagop Gorgissian, MD
• Andres E Goris, LCSW-R
• Alan Marc Gottfried, MS, OTR/L
• Green Line Pharmacy Inc
• Mitchell Greenberg, D.M.D.
• Guiding Steps Intervention LLC
• Elizabeth Guillen
• Miriam Jane Gunz, O.T.
• Katherine Marie Guzman

• Community/Retail Pharmacy in Kew Gardens, NY
• Providers in Kew Gardens, 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 Oct 22, 2025; 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.