Green Star Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GREEN STAR PHARMACY

Practice address

2950 Winkler Ave Ste 701
Fort Myers, FL 33916-9322

Phone

(239) 931-3605

Fax

(239) 931-3605

NPI assigned

Jul 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Frusnel Augustin, RPHNPI 1396015798

Title

Pharmacy Manager/ Pharmacist

Phone

(123) 924-0434

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Star corp Pharmacy Doing business as

Electronic endpoints 5

Practitioners 1

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

• Frusnel Augustin, RPH

  • Pharmacist
  • Lehigh Acres, FL
  • NPI 1396015798
  NPD Authorized official

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1962011890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 30TH ST SW",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339764091",
            "telephone_number": "239-240-4345",
            "fax_number": "239-931-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 WINKLER AVE STE 701",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169322",
            "telephone_number": "239-931-3605",
            "fax_number": "239-931-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN STAR PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "AUGUSTIN",
        "authorized_official_first_name": "FRUSNEL",
        "authorized_official_title_or_position": "PHARMACY MANAGER/ PHARMACIST",
        "authorized_official_telephone_number": "123-924-0434",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396015798",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "e-scribe",
            "address_1": "2950 Winkler Ave Ste 701",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "greenstarpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "this is where the  other practitioners can e-scribe and communicate with the pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "e-scribe",
            "address_1": "2950 Winkler Ave Ste 701",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2950 Winkler Ave Ste 701",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2950 Winkler Ave Ste 701",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacist",
            "affiliation": "N",
            "endpointDescription": "pharmacist",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2950 Winkler Ave Ste 701",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339169322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green Star corp Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cindy M Gray
• Scott Gray, PT, DPT
• Susan Ann Gray
• Toshie Grayson, PHARMD
• Amber Susan Greco, APRN
• Edward M Green, APRN
• John Justin Green, DO
• Kathleen Green, M.A.
• Kawanza S Green
• Kwee Green, APRN, CNM

• Pharmacy in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.