Active NPIOrganization

Green Line Apothecary Of Providence LLC

Pharmacy, Community/Retail Pharmacy in Providence, Rhode Island

NPI Number1750862983
Practice location
905 N Main St, Providence, RI 02904-5744
Fax
—
Last updated
September 15, 2023

Green Line Apothecary Of Providence LLC is a healthcare organization based in Providence, RI. Green Line Apothecary Of Providence LLC practices in Providence, RI. The NPI Number for Green Line Apothecary Of Providence LLC is 1750862983. The current practice location address for Green Line Apothecary Of Providence LLC is 905 N Main St, Providence, RI 02904-5744 and can be reached out via phone at 401-633-8100.

Provider Profile Details

NPI Number
1750862983
Provider Name
Green Line Apothecary Of Providence LLC
Provider Entity Type
Organization
Address
905 N Main St, Providence, RI 02904-5744
Phone Number
401-633-8100
Primary Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X
Organization Subpart
No
Authorized Official
Christina Procaccianti, PHARMD · Ceo · 401-360-3200
Other Names
Green Line Apothecary (Doing Business As)
Provider Enumeration Date
August 26, 2018
Last Update Date
September 15, 2023
Certification Date
September 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
905 N Main St
Providence, RI 02904-5744
Zip
02904-5744
Phone Number
401-633-8100
Providence, RI 02904Get directions →

Provider Business Mailing Address Details

Address
245 Main St
Wakefield, RI 02879-3527
City
Wakefield
State
RI
Zip
02879-3527
Phone Number
401-360-3200

License Information

Taxonomy
Pharmacy, Community/Retail Pharmacy · 3336C0003X · 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 Apothecary Of Providence LLC?

The NPI number of Green Line Apothecary Of Providence LLC is 1750862983. It was assigned on August 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Green Line Apothecary Of Providence LLC?

Green Line Apothecary Of Providence LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X).

Where does Green Line Apothecary Of Providence LLC practice?

The practice location is 905 N Main St, Providence, RI 02904-5744. The office can be reached at 401-633-8100 (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 1750862983 directly on the NPPES registry website.

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