Greenway Health & Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREENWAY HEALTH & PHARMACY INC

Doing business as

Greenway Pharmacy

Practice address

6547 99TH St
Rego Park, NY 11374-4347

Phone

(347) 527-1388

Fax

(347) 527-2898

NPI assigned

Oct 7, 2019

Last updated

Apr 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yuriy Mullokandov

Title

President

Phone

(347) 527-1388

Specialties & licenses 1

Addresses

Other names 1

• GREENWAY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586304000000",
    "number": "1871134288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744347",
            "telephone_number": "347-527-1388",
            "fax_number": "347-527-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6547 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744347",
            "telephone_number": "347-527-1388",
            "fax_number": "347-527-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY HEALTH & PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A",
        "authorized_official_last_name": "MULLOKANDOV",
        "authorized_official_first_name": "YURIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-527-1388"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENWAY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Graham, MSED
• Melie Graves, MHA, RD, CDN
• Sheana Green
• Tatiana Green, CASAC-2
• Greene Pharmacy 1 Inc
• Patrick Grillo, DDS
• Alexandra Erica Grinblat, MS
• Marilyn Ann Gross, SLP
• Yevgeniya L Groysman, M.S. CF-SLP, TSSLD
• Sin I Gu, MS, OTR/L

• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, 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 Apr 8, 2020; 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.