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GREEN BROTHERS PHARMACY INC
NPI 1619905221
Pharmacy - Community/Retail Pharmacy in Stockton, CA

Active since June 30, 2006
1617 N CALIFORNIA ST, STOCKTON, CA 95204(209) 948-6435(209) 235-0241 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Brothers Pharmacy Inc NPPES

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

GREEN BROTHERS PHARMACY INC (NPI 1619905221) is a healthcare organization registered as a community/retail pharmacy in Stockton, California and active in the NPI registry since June 2006. The organization lists Edward Rogan, Manager, as its authorized official.

NPPES Registry Identity

NPI1619905221
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN BROTHERS PHARMACY, INC
Location Address1617 N CALIFORNIA STStockton, CA 95204-6117
Mailing Address1617 N California St, Suite 1-fStockton, CA 95204-6117 · (209) 948-6435 · Fax (209) 235-0241
Phone(209) 948-6435
Fax(209) 235-0241
Organization SubpartNo
Authorized OfficialEdward RoganManager · (209) 948-6435
Enumeration DateJune 30, 2006
Last NPPES UpdateApril 15, 2011
✔ NPI 1619905221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY17863
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.
Also ListedPharmacyTaxonomy 333600000X
1617 N CALIFORNIA ST, Stockton, CA 95204
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Other Names 1

Doing Business AsGreen Brothers Pharmacy Inc

Other Identifiers 3

Medicare NSC0421180002CA
Other0526915Ncpdp Provider Identification Number
MedicaidPHA178630CA

Other Providers at the Same Location NPPES 20

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

DELTA RADIOLOGY MEDICAL GROUP, INC.
Radiology (Diagnostic Radiology)
1617 N CALIFORNIA ST, SUITE 1A
STOCKTON, CA 95204
San Joaquin County (209) 948-6063
YESENIA CIHUACOATL RD
Dietitian, Registered
1617 N CALIFORNIA ST, SUITE 2G
STOCKTON, CA 95204
San Joaquin County (209) 461-5268
DR. MADHAVI L RAVIPATI M.D.
Obstetrics & Gynecology
1617 N CALIFORNIA ST, SUITE 2-A
STOCKTON, CA 95204
San Joaquin County (209) 466-8546
DR. ANUBHI RISHIKESH KULKARNI MD
Obstetrics & Gynecology
1617 N CALIFORNIA ST, STE 2A
STOCKTON, CA 95204
San Joaquin County (209) 466-8546
RADIOLOGY MEDICAL MEDICAL GROUP
Specialist
1617 N CALIFORNIA ST, STE 1A
STOCKTON, CA 95204
San Joaquin County (209) 334-7810
MRS. MARISELLA GUERRERO PHARM D
Pharmacist
1617 N CALIFORNIA ST
STOCKTON, CA 95204
San Joaquin County (209) 948-6435
STOCKTON CARDIO THORACIC SURG MD G
Surgery (Vascular Surgery)
1617 N CALIFORNIA ST, SUITE 1D
STOCKTON, CA 95204
San Joaquin County (209) 948-1234
DR. SHERMILLA SHUNMUGHAM MD
Obstetrics & Gynecology
1617 N CALIFORNIA ST, STE 2B
STOCKTON, CA 95204
San Joaquin County (209) 948-4700

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 Brothers Pharmacy, Inc's NPI number?

The NPI number for Green Brothers Pharmacy, Inc is 1619905221. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Green Brothers Pharmacy Inc.

Where is Green Brothers Pharmacy, Inc located?

Green Brothers Pharmacy, Inc is located at 1617 N California St, Stockton, CA 95204. The listed phone number is (209) 948-6435.

What is Green Brothers Pharmacy, Inc'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 Brothers Pharmacy, Inc was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.