GREEN TREE PHARMACY INC. NPI 1245221068

NPI Details

GREEN TREE PHARMACY, INC. is a pharmacy in Minonk, IL. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. GREEN TREE PHARMACY, INC. NPI is 1245221068. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Tree Pharmacy.

The provider's business location address is:

1305 CAROLYN DR
MINONK, IL
ZIP 61760
Phone: (309) 432-3451
Fax: (309) 432-2575

The provider's authorized official is Charles T. George .
The authorized official title is Vice President and has the following contact phone number (309) 432-3451.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Fee covid-19 vac 14 res (HCPCS:0134A)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Influenza vaccine, quadrivalent derived from recombinant dna (HCPCS:90682)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
• Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring (HCPCS:M0243)
• Pneumococcal vaccine, 13-valent (HCPCS:90670)

The enumeration date for this NPI number is 11/1/2005 and was last updated on 8/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: