Green Pharmacy LLC
NPI 1124542634 · Specialty Pharmacy · Gaithersburg, MD
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Pharmacy LLC is a Specialty Pharmacy organization in Gaithersburg, MD (NPI 1124542634).
Provider details
- NPI number
- 1124542634
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nadir Shyotis, Owner(301) 519-9518
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Green Pharmacy
Registry dates
- Enumerated
- 2017-07-27
- Last updated
- 2023-11-15
- Certified
- 2023-11-15
Frequently asked questions
- What is Green Pharmacy LLC's NPI number?
- Green Pharmacy LLC's National Provider Identifier (NPI) is 1124542634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Pharmacy LLC?
- Green Pharmacy LLC is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Green Pharmacy LLC located?
- Green Pharmacy LLC's practice location on file with NPPES is 501 N Frederick Ave Ste 107b, Gaithersburg, MD 20877-2507.
- What is Green Pharmacy LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Pharmacy LLC is (202) 270-0900.
- Does Green Pharmacy LLC accept Medicare?
- Green Pharmacy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Green Pharmacy LLC?
- The authorized official listed on Green Pharmacy LLC's NPPES record is Nadir Shyotis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Pharmacy LLC's NPI active?
- Yes — Green Pharmacy LLC's NPI (1124542634) is active in the NPPES registry as of the last update on 2023-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.