GREENWOOD DRUG, INC.


Address: 2104 Kimball Ave, Waterloo, IA 50702-5037
Phone: 3192368067

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IA 1932642600 05
PK 2166385 01

Other Provider/Organization Names

Other Name Type Code
Greenwood Compliance Pharmacy Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1871542977 Greenwood Drug, Inc. Pharmacy 224 Byron Ave, Waterloo, IA 50702-3704 2006-05-08

Office Location

Street Address 2104 KIMBALL AVE
City WATERLOO
State IA
Zip Code 50702-5037

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508339425 Pm Acquisition, LLC Pharmacy 2039 Crossroads Blvd Ste B, Waterloo, IA 50702-4403 2019-01-03

Providers in the same taxonomy and state

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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Competitor

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City WATERLOO
Zip Code 50702

Improve Information

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Dataset Information

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.

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