Green Choice Pharmacy Inc

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GREEN CHOICE PHARMACY INC

Doing business as

SIMON'S PHARMACY

Practice address

10117 Queens Blvd
Forest Hills, NY 11375-2856

Phone

(718) 997-7333

Fax

(718) 997-7333

NPI assigned

May 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Musurmon Norkulov

Title

President

Phone

(929) 241-7070

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SIMON'S PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526601600000",
    "number": "1851881429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752856",
            "telephone_number": "718-997-7333",
            "fax_number": "718-997-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10117 QUEENS BLVD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752856",
            "telephone_number": "718-997-7333",
            "fax_number": "718-997-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CHOICE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2018-05-18",
        "status": "A",
        "authorized_official_last_name": "NORKULOV",
        "authorized_official_first_name": "MUSURMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-241-7070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04376821",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIMON'S PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Grapel, DPM
• Joanna Grasso
• Donna Gray, M.S. ED
• Melissa Graziano
• Great Strides Podiatry, P.C.
• Anisha Green, MSED
• Latasha Green
• Sharlene Green
• Sydney Green
• Towana Yolanda Green

• Pharmacy in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; 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.

Verify at the official NPI Registry.