Green River Associates Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GREEN RIVER ASSOCIATES INC

Practice address

2115 14TH St Ste 201
Auburn, NE 68305-1760

Phone

(402) 883-0500

NPI assigned

Jun 3, 2020

Organization subpart

No

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

Authorized official

Name

Colby Haynes

Title

Vice President

Phone

(402) 335-3375

Specialties & licenses 2

Addresses

Other names 1

• Stoner Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in NE2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Green River Associates Inc

  • Community/Retail Pharmacy
  • Tecumseh, NE
  • NPI 1609942234

  9234258583

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Green River Associates Inc

  • Community/Retail Pharmacy
  • Tecumseh, NE
  • NPI 1609942234

  O20200430001483

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Chief Drug2 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.

• Green River Associates Inc

  • Community/Retail Pharmacy
  • Tecumseh, NE
  • NPI 1609942234
  NPD tax ID

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1962026138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 14TH ST STE 201",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051760",
            "telephone_number": "402-274-0220",
            "fax_number": "402-274-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 14TH ST STE 201",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051760",
            "telephone_number": "402-883-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "COLBY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-335-3375"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stoner Drug",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stoner Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Frerichs Shea
• Taylor Garton
• Meagan Gerdes
• John A Gill, MD
• Kendra Ann Gottula, LPN
• Robin Griggs
• Kelsey Gulizia
• Kimberly Hahn, PT
• Nancy Jo Hahn
• Ryan Hahn

• Community/Retail Pharmacy in Auburn, NE
• Providers in Auburn, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.