GREEN LINE PHARMACY INC NPI 1417716564

NPI Information

  • NPI: 1417716564
  • Provider Name: GREEN LINE PHARMACY INC
  • Classification: Pharmacy - 3336L0003X
  • Specialization: Long Term Care Pharmacy
  • Entity Type: Organization
  • Address: 8157 LEFFERTS BLVD
    KEW GARDENS, NY
    ZIP 11415
  • Phone: (718) 850-5220

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NPI Details

GREEN LINE PHARMACY INC is a long term care pharmacy pharmacy in Kew Gardens, NY. The provider is 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. GREEN LINE PHARMACY INC NPI is 1417716564. The provider is registered as an organization entity type.

The provider's business location address is:

8157 LEFFERTS BLVD
KEW GARDENS, NY
ZIP 11415-728
Phone: (718) 850-5220
Fax: (718) 850-5221

The provider's authorized official is Mikhail Aminov .
The authorized official title is Owner and has the following contact phone number (718) 850-5220.

The enumeration date for this NPI number is 3/18/2024 and was last updated on 10/22/2025.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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