MEDICARE: GREENWOOD PHARMACY MANAGEMENT, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1336001221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENWOOD PHARMACY MANAGEMENT, INC

Provider Business Mailing Address
First Line	:	5419 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5419 EL CAJON BLVD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92115-3620
Country	:	US
Telephone Number	:	619-806-8486
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	FADI RAMO
Credential	:	RPH
Telephone Number	:	619-729-8346

Provider Enumeration Date	:	11/29/2025
Last Update Date	:	12/09/2025

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