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1619579554 NPI number — NATURE GREEN LEAF

NPI Number: 1619579554
Health Care Provider/Practitioner: NATURE GREEN LEAF

Information about “1619579554” NPI (NATURE GREEN LEAF) exists in 1619579554 in HTML format HTML  |  1619579554 in plain Text format TXT  |  1619579554 in PDF (Portable Document Format) PDF  |  1619579554 in an XML format XML  formats.

NPI Number : 1619579554 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619579554",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "NATURE GREEN LEAF",
    "ParentOrgTIN": null,
    "OrgName": "NATURE GREEN LEAF",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3129 KINGSLEY DR STE 2030",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEARLAND",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77584-8511",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-617-7438",
    "MailingAddressFaxNumber": "281-617-1867",
    "FirstLinePracticeLocationAddress": "3129 KINGSLEY DR STE 2030",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEARLAND",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77584-8511",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-617-7438",
    "PracticeLocationAddressFaxNumber": "281-617-1867",
    "EnumerationDate": "11/16/2020",
    "LastUpdateDate": "01/29/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "OJEVWE",
    "AuthorizedOfficialFirstName": "CHARLES",
    "AuthorizedOfficialMiddleName": "O",
    "AuthorizedOfficialTitle": "PHARMACY MANAGER/OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "281-617-7438",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3336C0004X",
          "TaxonomyName": "Compounding Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336L0003X",
          "TaxonomyName": "Long Term Care Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336C0003X",
          "TaxonomyName": "Community/Retail Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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