Greenleaf Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GREENLEAF MEDICAL SUPPLY LLC

Practice address

1409 Plaza West Dr Ste G
Winston Salem, NC 27103-1418

Phone

(336) 705-0610

NPI assigned

Jun 1, 2017

Organization subpart

No

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

Authorized official

Name

Randal Wood

Title

VP

Phone

(336) 705-0610

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1932637014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 PLAZA WEST RD, SUITE G",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 PLAZA WEST DR STE G",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031418",
            "telephone_number": "336-705-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-01",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "336-705-0610"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath Greene, PH.D.
• James Al Greene, CCS, LCAS
• Jennifer Greene, OTR/L
• Leah Michelle Greene, OCC. THERAPIST
• Michaela Greene, MS, CCC-SLP
• Erica Monique Greenlee, LCMHCA
• Frances C Greenlee, P.A.
• Jennifer F Greenly, MS, RD, LDN
• Greentree Peer Support
• Brianna Greenwood

• Durable Medical Equipment & Medical Supplies in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Durable Medical Equipment & Medical Supplies in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.