Greenwood Drug, Inc.

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GREENWOOD DRUG, INC.

Practice address

2104 Kimball Ave
Waterloo, IA 50702-5037

Phone

(319) 234-6673

Fax

(319) 226-5898

NPI assigned

Nov 29, 2016

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, BS PHARMACY

Title

Pic/Owner

Phone

(319) 234-6673

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Greenwood Compliance Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1932642600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 KIMBALL AVE STE B",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025037",
            "telephone_number": "319-234-6673",
            "fax_number": "319-274-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025037",
            "telephone_number": "319-234-6673",
            "fax_number": "319-226-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD DRUG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "GREENWOOD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "319-234-6673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "IA",
            "license": "1635",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932642600",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood Compliance Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenwood Compliance Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Mackenzie Griffin

• Long Term Care Pharmacy in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Long Term Care Pharmacy in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.