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GREEN PHARMACY AND STORE LLC
NPI 1073205969
Pharmacy - Community/Retail Pharmacy in Philadelphia, PA

Active since May 22, 2023
4931 N BROAD ST, PHILADELPHIA, PA 19141(267) 996-8770(267) 996-8100 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Pharmacy And Store Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN PHARMACY AND STORE LLC (NPI 1073205969) is a healthcare organization registered as a community/retail pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since May 2023. The organization lists Babatunde Adedayo Osobu, President, as its authorized official.

NPPES Registry Identity

NPI1073205969
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN PHARMACY AND STORE LLC
Location Address4931 N BROAD STPhiladelphia, PA 19141-2254
Mailing Address4931 N Broad StPhiladelphia, PA 19141-2254 · (267) 996-8770 · Fax (267) 996-8100
Phone(267) 996-8770
Fax(267) 996-8100
Organization SubpartNo
Authorized OfficialBabatunde Adedayo OsobuPresident · (267) 307-1581
Enumeration DateMay 22, 2023
NPPES CertifiedMay 21, 2023
✔ NPI 1073205969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4931 N BROAD ST, Philadelphia, PA 19141
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TB PHARMACY INC.
Pharmacy (Community/Retail Pharmacy)
4931 N BROAD ST
PHILADELPHIA, PA 19141
Philadelphia County (215) 842-5620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Pharmacy And Store LLC's NPI number?

The NPI number for Green Pharmacy And Store LLC is 1073205969. It was assigned to this organization in the NPPES registry on May 22, 2023.

Where is Green Pharmacy And Store LLC located?

Green Pharmacy And Store LLC is located at 4931 N Broad St, Philadelphia, PA 19141. The listed phone number is (267) 996-8770.

What is Green Pharmacy And Store LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Green Pharmacy And Store LLC was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.