GREENVILLE DRUG STORE INC (NPI# 1174509939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174509939 |
| Entity Type | Organization |
| Organization Name | GREENVILLE DRUG STORE INC |
| Practice Address |
213 Central Ave Norwich CT 06360-3801 |
| Practice Telephone | 8608899857 |
| Practice Fax Number | 8608860950 |
| Mailing Telephone | 8608899857 |
| Mailing Fax Number | 8608860950 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN A KISZKIEL II (PRESIDENT) |
| Authorized Official Telephone | 8608899857 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 731 | CT | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366546087 | Greenville Drug Store Inc | Pharmacy | 213 Central Ave, Norwich, CT 06360-3801 | 2006-09-12 |
| Street Address |
213 CENTRAL AVE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861520439 | Lori J Lord | Pharmacist | 213 Central Ave, Norwich, CT 06360-3801 | 2007-03-02 |
| 1366546087 | Greenville Drug Store Inc | Pharmacy | 213 Central Ave, Norwich, CT 06360-3801 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1164879508 | Deborah Otka | Pharmacist | 634 West Main Street, Norwich, CT 06360-6007 | 2016-05-16 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1942644711 | Ji Chen | Pharmacist | 136 Stowell Road, Norwich, VT 05055 | 2013-04-24 |
| 1396011235 | Chelsea Elizabeth Hough | Pharmacist | 82 North Broad Street, Norwich, NY 13815 | 2012-03-26 |
| 1871861641 | Stephen A St.germain | Pharmacist | 224 Salem Turnpike, Norwich, CT 06360 | 2011-12-08 |
| 1871756346 | Cheryl Costello | Pharmacist | 1703b Route 5 N, Norwich, VT 05055-9494 | 2008-07-05 |
| 1891967113 | Ronald I Jensen | Pharmacist | 87 N Broad St, Norwich, NY 13815-1311 | 2008-03-26 |
| 1306025747 | Jill R Lang | Pharmacist | 82 N Broad St, Norwich, NY 13815-1332 | 2007-11-02 |
| 1750560207 | Ronald Greenberg | Pharmacist | 90 N Broad St, Norwich, NY 13815-1312 | 2007-11-01 |
| Find all providers in NORWICH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.