GREENVILLE DRUG STORE INC (NPI# 1366546087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366546087 |
| Entity Type | Organization |
| Organization Name | GREENVILLE DRUG STORE INC |
| Other 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 | 2006-09-12 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | LORI LORD (MANAGER) |
| Authorized Official Telephone | 8608899857 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PCY.0000731 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 1998702 | 01 | |
| CT | 004030045 | 05 |
| Other Name | Type Code |
|---|---|
| GREENVILLE DRUG STORE INC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509939 | Greenville Drug Store Inc | Pharmacist | 213 Central Ave, Norwich, CT 06360-3801 | 2005-12-22 |
| Street Address |
213 CENTRAL AVE |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174509939 | Greenville Drug Store Inc | Pharmacist | 213 Central Ave, Norwich, CT 06360-3801 | 2005-12-22 |
| 1861520439 | Lori J Lord | Pharmacist | 213 Central Ave, Norwich, CT 06360-3801 | 2007-03-02 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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: new] |
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|---|---|---|---|---|
| 1578033569 | Uncas Pharmacy LLC | Pharmacy | 20 Town St, Norwich, CT 06360-2306 | 2018-12-03 |
| 1225313901 | Walgreens Pharmacy | Pharmacy | 399 West Main St, Norwich, CT 06360 | 2011-10-13 |
| 1457460941 | Rite Aid of New York Inc | Pharmacy | 90 N Broad Street, Norwich, NY 13815-1312 | 2006-08-29 |
| 1720093073 | Walgreen Co | Pharmacy | 399 W Main St, Norwich, CT 06360-5414 | 2006-07-29 |
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| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| 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.