Organization Active NPI

Greene Pharma LLC

  • Community/Retail Pharmacy
  • Catskill, NY
National Provider Identifier
1851658736
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031369 Issued in NY
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

Updated by the provider on Dec 1, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03460524MedicaidNY
2136245OtherPK

Other names 1

  • GREENE MEDICAL ARTS PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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 LLC2 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.

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.

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.

Verify at the official NPI Registry.