GREEN TREE PHARMACY, INC. (NPI# 1245221068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245221068 |
| Entity Type | Organization |
| Organization Name | GREEN TREE PHARMACY, INC. |
| Other Organization Name | GREEN TREE PHARMACY |
| Practice Address |
1305 Carolyn Dr Minonk IL 61760 |
| Mailing Address |
115 W Jefferson St Suite 401 Bloomington IL 61701-3946 |
| Practice Telephone | 3094323451 |
| Practice Fax Number | 3094322575 |
| Mailing Telephone | 3098284361 |
| Mailing Fax Number | 3098299512 |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2012-06-23 |
| Authorized Official Name | MR. CRAIG L ATER (EXEC. VP & CFO) |
| Authorized Official Telephone | 3098284361 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | 032-006965 | IL | Suppliers |
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
058-013453 | IL | Suppliers |
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
058-013453 | IL | Suppliers |
| Y | 333600000X | Pharmacy | 058-013453 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Green Tree Pharmacy | Doing Business As Name - Organization |
| Street Address |
1305 CAROLYN DR |
| City | MINONK |
| State | IL |
| Zip Code | 61760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477899805 | Timothy Gordon Weech | Chiropractor | 140 W 6th St, Minonk, IL 61760 | 2012-12-12 |
| 1528573029 | Amy Naas | Speech-Language Pathologist | 404 W 8th St, Minonk, IL 61760-1017 | 2017-12-06 |
| 1902048986 | Jessica Lynn White | Internal Medicine | 120 E 7th St, Minonk, IL 61760-1135 | 2009-04-06 |
| 1295852515 | City of Minonk of Woodford County | Ambulance | 636 Jefferson St, Minonk, IL 61760-1243 | 2007-03-23 |
| 1033240767 | Neil Paul Heineke | Pharmacist | 568 N Chestnut St, Minonk, IL 61760-1271 | 2007-03-07 |
| 1487958914 | David D Wegman | Pharmacist | 568 N Chestnut St, Minonk, IL 61760-1271 | 2010-12-23 |
| 1780669309 | Sharon A Austin | Nurse Practitioner | 200 E 6th St, Minonk, IL 61760-1308 | 2005-12-07 |
| 1225013840 | John E Podzamsky | Family Medicine | 200 E 6th St, Minonk, IL 61760-1308 | 2005-12-07 |
| 1164772778 | Eric Ross Saxton | Physical Therapist | 541 Oak St, Minonk, IL 61760-1310 | 2012-09-12 |
| 1841686094 | Champion Fitness, Inc | Clinic/Center | 541 Oak St, Minonk, IL 61760-1310 | 2015-04-14 |
| Find all providers in zip 61760 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
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| 1336768001 | Mhg Pharmacy Services, LLC | Pharmacy | 2923 N California Ave Ste 240, Chicago, IL 60618-7702 | 2020-04-13 |
| 1184258824 | Metropolitian Austin Outpatient Pharmacy LLC | Pharmacy | 645 S Central Ave Ste 1, Chicago, IL 60644-5059 | 2020-03-02 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1568093615 | Carefirst Pharmacy, Inc. | Pharmacy | 2253 N Cicero Ave, Chicago, IL 60639-3327 | 2020-01-28 |
| 1720624521 | Affinity Pharmacy Care LLC | Pharmacy | 285 W Loop Rd Ste 1, Wheaton, IL 60189-2036 | 2019-11-27 |
| 1104462126 | Loyola University Medical Center | Pharmacy | 2160 S 1st Ave Rm 150-1610, Maywood, IL 60153-3328 | 2019-11-25 |
| 1346886512 | Value Plus Pharmacy LLC | Pharmacy | 457 W Liberty St, Wauconda, IL 60084-2452 | 2019-11-22 |
| 1841833100 | April M Bailey | Pharmacy | 1019 Oakcrest Dr, Rantoul, IL 61866-1118 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
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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.