Greene Pharmacy 1 Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

035891 Issued in NY

Legal business name

GREENE PHARMACY 1 INC

Practice address

6545 99TH St
Rego Park, NY 11374-4347

Phone

(718) 433-9530

Fax

(718) 433-9479

NPI assigned

Sep 28, 2017

Organization subpart

No

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

Authorized official

Name

Neriye Kaykov

Title

President

Phone

(718) 433-9530

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• GREENE PHARMACY 1 INC Other name

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1982113221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 99TH STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-433-9530",
            "fax_number": "718-433-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 99TH ST",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744347",
            "telephone_number": "718-433-9530",
            "fax_number": "718-433-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENE PHARMACY 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "KAYKOV",
        "authorized_official_first_name": "NERIYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-433-9530"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "035891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2173407",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENE PHARMACY 1 INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grace Wang NP in Family Health P.C.
• Vanessa Graham, MSED
• Melie Graves, MHA, RD, CDN
• Sheana Green
• Tatiana Green, CASAC-2
• Greenway Health & Pharmacy Inc
• Patrick Grillo, DDS
• Alexandra Erica Grinblat, MS
• Marilyn Ann Gross, SLP
• Yevgeniya L Groysman, M.S. CF-SLP, TSSLD

• Community/Retail Pharmacy in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.