Greenwood Drug, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

71 Issued in IA

Legal business name

GREENWOOD DRUG, INC.

Practice address

224 Byron Ave
Waterloo, IA 50702-3704

Phone

(319) 234-1589

Fax

(319) 234-5627

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Robert John Greenwood, RPH

Title

Pharmacist-in-Charge/President

Phone

(319) 234-1589

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Greenwood Drug Inc

  • Community/Retail Pharmacy
  • Waterloo, IA
  • NPI 1811084056

  9931207677

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Greenwood Drug Inc

  • Community/Retail Pharmacy
  • Waterloo, IA
  • NPI 1811084056

  O20071106000785

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Maquoketa Pharmacy Inc

  • Pharmacy
  • Maquoketa, IA
  • NPI 1861155699

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Bradley, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Waterloo, IA
  • NPI 1508015280
  NPD (past)
• Jennifer Leigh Clayton, PHARMD

  • Pharmacist
  • Waterloo, IA
  • NPI 1578513891
  NPD (past)
• Julianna Marie Kula, PHARM D

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Waterloo, IA
  • NPI 1942451927
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1871542977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BYRON AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507023704",
            "telephone_number": "319-234-1589",
            "fax_number": "319-234-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BYRON AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507023704",
            "telephone_number": "319-234-1589",
            "fax_number": "319-234-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE/PRESIDENT",
        "authorized_official_telephone_number": "319-234-1589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1615333",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyd Q. Grafft, ARNP
• Michelle L Graham, M.D.
• Sommer J Grant, ARNP
• Emily Ann Grarup, ARNP
• Greenwood Drug Inc
• Greenwood Drug, Inc.
• Joseph Greenwood, PHARM D
• Robert John Greenwood, RPH
• Dillon Greer, HIS
• Samarah Greeves, LISW

• Community/Retail Pharmacy in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Community/Retail Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.