Organization Active NPI

Greenhouse Pharmacy

  • Pharmacy
  • San Francisco, CA
National Provider Identifier
1912904178
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHY37814 Issued in CA
Legal business name
GREENHOUSE PHARMACY
Practice address
1516 Noriega St
San Francisco, CA 94122-4434
Phone
(415) 665-7775
Fax
(415) 665-7796
NPI assigned
Jul 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Mr. Clarence B Yuk
Title
Manager
Phone
(415) 665-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY37814 CA Primary

Addresses

Primary practice location

1516 Noriega St
San Francisco, CA 94122-4434

Mailing address

1516 Noriega St
San Francisco, CA 94122-4434
Phone (415) 665-7775

Other identifiers 1

IdentifierTypeStateIssuer
PHA378140MedicaidCA

Other names 1

  • 1668 investment and association Other name

National Provider Directory

National Provider Directory

Locations

1516 Noriega St
San Francisco, CA 94122
Phone (415) 665-7775

NPI Registry JSON

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1912904178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224434",
            "telephone_number": "415-665-7775",
            "fax_number": "415-665-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 NORIEGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941224434",
            "telephone_number": "415-665-7775",
            "fax_number": "415-665-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHOUSE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-03",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "YUK",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "415-665-7775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY37814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA378140",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1668 investment and association",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.