GREENWOOD DRUG, INC. (NPI# 1932642600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932642600 |
Entity Type | Organization |
Organization Name | GREENWOOD DRUG, INC. |
Other Organization Name | GREENWOOD COMPLIANCE PHARMACY |
Practice Address |
2104 Kimball Ave Waterloo IA 50702-5037 |
Mailing Address |
2104 Kimball Ave Ste B Waterloo IA 50702-5037 |
Practice Telephone | 3192368067 |
Practice Fax Number | 3192265898 |
Mailing Telephone | 3192342634 |
Mailing Fax Number | 3192749064 |
Enumeration Date | 2016-11-29 |
Last Update Date | 2020-02-10 |
Authorized Official Name | ROBERT JOHN GREENWOOD (PIC/OWNER) |
Authorized Official Telephone | 3192342634 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 333600000X | Pharmacy | 1635 | IA | Suppliers |
Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 1932642600 | 05 | |
PK | 2166385 | 01 |
Other Name | Type Code |
---|---|
Greenwood Compliance Pharmacy | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871542977 | Greenwood Drug, Inc. | Pharmacy | 224 Byron Ave, Waterloo, IA 50702-3704 | 2006-05-08 |
Street Address |
2104 KIMBALL AVE |
City | WATERLOO |
State | IA |
Zip Code | 50702-5037 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770533002 | Robert John Greenwood | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2006-05-10 |
1669087656 | Madison Renee Mcdonald | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2020-09-15 |
1548822240 | Brianna Hostert | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2019-07-02 |
1073171997 | Joseph Greenwood | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2019-06-05 |
1407342355 | Jenna Beninga | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2018-07-03 |
1508361445 | Wesley Charles Pilkington | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2018-03-23 |
1396247128 | Lynnette Marie Hintz | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2018-03-07 |
1598267775 | Tonja Marie Roland-ludwig | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2018-03-05 |
1790287886 | Charlotte Ann Williams | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2018-03-05 |
1457881872 | Robert Edward Nichols Vi | Pharmacist | 2104 Kimball Ave, Waterloo, IA 50702-5037 | 2017-06-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
Find all providers in zip 50702 |
Taxonomy Code | 3336L0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Long Term Care Pharmacy |
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
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 |
---|---|---|---|---|
1508339425 | Pm Acquisition, LLC | Pharmacy | 2039 Crossroads Blvd Ste B, Waterloo, IA 50702-4403 | 2019-01-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144864950 | Pm Acquisition, LLC | Pharmacy | 4927 Maple Dr Ste 200, Pleasant Hill, IA 50327-2030 | 2019-11-05 |
1992348882 | Pharmscript of Ia LLC | Pharmacy | 2601 104th St Ste 300, Urbandale, IA 50322-3954 | 2019-10-23 |
1063070985 | Pm Acquisition, LLC | Pharmacy | 107 W Main St Ste B, Ottumwa, IA 52501-2542 | 2019-06-05 |
1720543812 | Greenfield Pharmacy LLC | Pharmacy | 202 Se Kent St Ste 1, Greenfield, IA 50849-1411 | 2019-02-04 |
1427533165 | Consultant Pharmacists Inc | Pharmacy | 714 Illinois St, Sidney, IA 51652-8027 | 2018-09-28 |
1912486226 | Gbank Health LLC | Pharmacy | 617 8th Ave Se Ste C, Cedar Rapids, IA 52401-2117 | 2018-08-08 |
1811475064 | Gbank Health LLC | Pharmacy | 876 Tanglefoot Ln, Bettendorf, IA 52722-1605 | 2018-07-31 |
1588175103 | L & M Pharmacy Care | Pharmacy | 2526 Glenn Ave, Sioux City, IA 51106-2768 | 2017-10-23 |
1609393917 | Lewis Family Drug, LLC | Pharmacy | 528 S 3rd St, Moville, IA 51039 | 2017-08-28 |
1851773501 | Community Pharmacy Services Inc | Pharmacy | 5217 Grand Ave, Davenport, IA 52807-1014 | 2015-06-18 |
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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.