Active NPI
Greene Pharma LLC
- Community/Retail Pharmacy
- Catskill, NY
National Provider Identifier
1851658736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 031369
- Legal business name
- GREENE PHARMA LLC
- Practice address
- 159 Jefferson HTS Ste B201
Catskill, NY 12414-1237 - Phone
- (518) 943-1715
- Fax
- (518) 943-4816
- NPI assigned
- Apr 18, 2012
- 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
- Srinivas Velesetty
- Title
- Pharmacy Manager / Pharmacist
- Phone
- (518) 943-1715
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 031369 | NY | Primary |
Addresses
Primary practice location
159 Jefferson HTS Ste B201
Catskill, NY 12414-1237
Mailing address
159 Jefferson HTS Ste B201
Catskill, NY 12414-1237
Phone (518) 943-1715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03460524 | Medicaid | NY | |
| 2136245 | Other | PK |
Other names 1
- GREENE MEDICAL ARTS PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120821000148 | NY | DME Supplier - Pharmacy | 4880841238 | Practice locations: Catskill, NY |
| O20230927001512 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 4880841238 | Practice locations: Catskill, NY |
| O20251210002339 | NY | Part B Supplier - Pharmacy | 4880841238 | Practice locations: Catskill, NY |
National Provider Directory
National Provider Directory- Tax ID family
- Greene Pharma LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Catskill, NY
- NPI 1992523328
Locations
159 Jefferson Hts
Ste B201
Catskill, NY 12414
Phone (518) 943-1715
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Long Term Care Pharmacy
- Catskill, NY
- NPI 1992523328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764547200000",
"number": "1851658736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 JEFFERSON HTS STE B201",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141237",
"telephone_number": "518-943-1715",
"fax_number": "518-943-4816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 JEFFERSON HTS STE B201",
"city": "CATSKILL",
"state": "NY",
"postal_code": "124141237",
"telephone_number": "518-943-1715",
"fax_number": "518-943-4816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENE PHARMA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A",
"authorized_official_last_name": "VELESETTY",
"authorized_official_first_name": "SRINIVAS",
"authorized_official_title_or_position": "PHARMACY MANAGER / PHARMACIST",
"authorized_official_telephone_number": "518-943-1715"
},
"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": "031369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03460524",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2136245",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GREENE MEDICAL ARTS PHARMACY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GREENE MEDICAL ARTS PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Catskill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.