1. Home
  2. Directory
  3. Rhode Island
  4. Riverside
  5. Pharmacy
  6. NPI Profile

GREEN LINE SUPPLY LLC
NPI 1386450153
Pharmacy - Long Term Care Pharmacy in Riverside, RI

Active since December 06, 2024
10 TRIPPS LN, RIVERSIDE, RI 02915(401) 360-3400 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Line Supply Llc NPPES

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

GREEN LINE SUPPLY LLC (NPI 1386450153) is a healthcare organization registered as a long term care pharmacy in Riverside, Rhode Island and active in the NPI registry since December 2024. The organization lists Kenneth Procaccianti, President, as its authorized official.

NPPES Registry Identity

NPI1386450153
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGREEN LINE SUPPLY LLC
Location Address10 TRIPPS LNRiverside, RI 02915-3014
Mailing Address203 Main StWakefield, RI 02879-3557
Phone(401) 360-3400
Organization SubpartNo
Authorized OfficialKenneth ProcacciantiPresident · (401) 360-3200
Enumeration DateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1386450153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
10 TRIPPS LN, Riverside, RI 02915
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

CAITLIN ELIZABETH COONEY MSN, APRN, FNP-BC
Nurse Practitioner (Family)
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 765-4100
FRANCISCO ARGELIS HEREDIA DE LOS SANTOS
Non-emergency Medical Transport (VAN)
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 499-3778
DR. ELIZABETH M WHITE APRN, PHD
Nurse Practitioner (Adult Health)
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 434-1400
DR. MARK C ZELLER DO
Internal Medicine
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 654-4098
KAYLA N MCGLOIN NP
Nurse Practitioner
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 654-4120
BRITTANY DALPHONSE APRN
Nurse Practitioner (Family)
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (401) 490-6566
MS. AMANDA LYNN TIBURCIO RN
Registered Nurse
10 TRIPPS LN
RIVERSIDE, RI 02915
Providence County (508) 317-3888

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 Line Supply LLC's NPI number?

The NPI number for Green Line Supply LLC is 1386450153. It was assigned to this organization in the NPPES registry on December 6, 2024.

Where is Green Line Supply LLC located?

Green Line Supply LLC is located at 10 Tripps Ln, Riverside, RI 02915. The listed phone number is (401) 360-3400.

What is Green Line Supply LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Green Line Supply LLC was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.