Active NPIOrganization

Green Line Supply LLC

Pharmacy, Long Term Care Pharmacy in Riverside, Rhode Island

NPI Number1386450153
Practice location
10 Tripps Ln, Riverside, RI 02915-3014
Fax
—
Last updated
December 6, 2024

Green Line Supply LLC is a healthcare organization based in Riverside, RI. Green Line Supply LLC practices in Riverside, RI. The NPI Number for Green Line Supply LLC is 1386450153. The current practice location address for Green Line Supply LLC is 10 Tripps Ln, Riverside, RI 02915-3014 and can be reached out via phone at 401-360-3400.

Provider Profile Details

NPI Number
1386450153
Provider Name
Green Line Supply LLC
Provider Entity Type
Organization
Address
10 Tripps Ln, Riverside, RI 02915-3014
Phone Number
401-360-3400
Primary Taxonomy
Pharmacy, Long Term Care Pharmacy · 3336L0003X
Organization Subpart
No
Authorized Official
Kenneth Procaccianti · President · 401-360-3200
Provider Enumeration Date
December 6, 2024
Last Update Date
December 6, 2024
Certification Date
December 6, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Tripps Ln
Riverside, RI 02915-3014
Zip
02915-3014
Phone Number
401-360-3400
Riverside, RI 02915Get directions →

Provider Business Mailing Address Details

Address
203 Main St
Wakefield, RI 02879-3557
City
Wakefield
State
RI
Zip
02879-3557

License Information

Taxonomy
Pharmacy, Long Term Care Pharmacy · 3336L0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Green Line Supply LLC?

The NPI number of Green Line Supply LLC is 1386450153. It was assigned on December 6, 2024 and is currently active in the NPPES registry.

What is the specialty of Green Line Supply LLC?

Green Line Supply LLC is registered under the primary taxonomy Pharmacy, Long Term Care Pharmacy (code 3336L0003X).

Where does Green Line Supply LLC practice?

The practice location is 10 Tripps Ln, Riverside, RI 02915-3014. The office can be reached at 401-360-3400 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386450153 directly on the NPPES registry website.

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