Greenleaf Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREENLEAF PHARMACY LLC

Practice address

1558 Commonwealth Ave
Brighton, MA 02135-5033

Phone

(617) 566-2281

Fax

(617) 232-4084

NPI assigned

Jun 27, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Uyen Le-Kong, PHARMDNPI 1164289575

Title

Pharmacist

Phone

(617) 566-2281

Specialties & licenses 1

Addresses

Other names 1

• Melvin Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in MA2 enrollments

Enrollment records 2

Tax ID family

Greenleaf Pharmacy 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.

• Greenleaf Pharmacy LLC LTC

  • Long Term Care Pharmacy
  • Brighton, MA
  • NPI 1649092032
  NPD tax ID

Practitioners 3

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

• Uyen Le-Kong, PHARMD

  • Pharmacist
  • Brighton, MA
  • NPI 1164289575
  NPD Authorized official
• Eugenia Byalik, RPH

  • Pharmacist
  • Brighton, MA
  • NPI 1790504793
  NPD
• Uliana Demelo, PHARMD

  • Pharmacist
  • Brighton, MA
  • NPI 1467271460
  NPD

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1902641376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355033",
            "telephone_number": "617-566-2281",
            "fax_number": "617-232-4084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 COMMONWEALTH AVE",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021355033",
            "telephone_number": "617-566-2281",
            "fax_number": "617-232-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "LE-KONG",
        "authorized_official_first_name": "UYEN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "617-566-2281",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melvin Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melvin Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greater Boston Wellness Group
• Diana Rose Green, O.D.
• Jonna Green, LICSW
• Richard Green
• Danielle Nycole Greenaway, LPN
• Greenleaf Pharmacy LLC LTC
• Cory Greguske, DO
• William Griffiths III, PA-C
• Andrew Grimminck, BCBA, LBA
• Joanna M Gross, PA-C

• Community/Retail Pharmacy in Brighton, MA
• Providers in Brighton, MA by specialty
• Community/Retail Pharmacy in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.