GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY (NPI# 1700375318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700375318 |
| Entity Type | Organization |
| Organization Name | GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY |
| Other Organization Name | GREEN HEALTH PHARMACY |
| Practice Address |
2898 Dale Blvd Unit 105 Woodbridge VA 22193-1118 |
| Mailing Address |
6047 Ticket Way Woodbridge VA 22193-6138 |
| Practice Telephone | 7034992373 |
| Mailing Telephone | 7034992373 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | DR. KWAME BINFO ENNIN (CEO/MANAGING PRACTITIONER) |
| Authorized Official Telephone | 7034992373 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Green Health Pharmacy | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Green Health Integrative & Wellness Pharmacy Limited Company | 2898 Dale Blvd, Suite 105, Dale City, Virginia 22193 |
| Street Address |
2898 DALE BLVD UNIT 105 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150011 | Ryten Rx, LLC | Pharmacy | 458 Amboy Ave Ste 2, Woodbridge, NJ 07095-2948 | 2020-09-27 |
| 1528691946 | Pharmacy One LLC | Pharmacy | 14904 Jefferson Davis Hwy Ste 101, Woodbridge, VA 22191-3908 | 2020-02-13 |
| 1629445796 | Opitiz Inc | Pharmacy | 2068 Daniel Stuart Sq, Woodbridge, VA 22191-3315 | 2015-08-25 |
| 1396904223 | Wegmans Food Markets Inc | Pharmacy | 14801 Dining Way, Woodbridge, VA 22191 | 2008-06-05 |
| 1497952238 | Harris Teeter, LLC | Pharmacy | 12745 Galveston Court, Woodbridge, VA 22192 | 2007-06-27 |
| 1255432795 | Omm Inc | Pharmacy | 14454 Jefferson Davis Hwy, Woodbridge, VA 22191-2806 | 2006-09-26 |
| 1083636765 | Virginia Cvs Pharmacy LLC | Pharmacy | 2460 Prince William Pkwy, Woodbridge, VA 22192-4148 | 2006-07-24 |
| 1184143687 | Chlone Inc | Pharmacy | 458 Amboy Ave, Woodbridge, NJ 07095-2948 | 2017-09-15 |
| 1992182901 | Goodcare Pharmacy | Pharmacy | 14904 Jefferson Davis Hwy, Suite 101, Woodbridge, VA 22191-3908 | 2015-04-28 |
| 1316374143 | One Hanson Pharmacy and Wellness Center | Pharmacy | 12493 Dillingham Sq, Woodbridge, VA 22192-5257 | 2013-10-13 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on GREEN HEALTH INTEGRATIVE & WELLNESS PHARMACY.
| 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.