OrganizationActive
Green Line Pharmacy Inc
NPI 1417716564 · Long Term Care Pharmacy · Kew Gardens, NY
Green Line Pharmacy Inc is a Long Term Care Pharmacy organization in Kew Gardens, NY (NPI 1417716564).
Provider details
- NPI number
- 1417716564
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Mikhail Aminov, Owner(718) 850-5220
Specialties & taxonomies
Suppliers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
8157 Lefferts Blvd
Kew Gardens, NY 11415-1728
Phone: (718) 850-5220
Fax: (718) 850-5221
Street-level locationGet directions
Mailing address
8157 Lefferts Blvd
Kew Gardens, NY 11415-1728
Other names (DBA / former)
- Doing business as
- Kew Gardens Pharmacy
Registry dates
- Enumerated
- 2024-03-18
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Green Line Pharmacy Inc's NPI number?
- Green Line Pharmacy Inc's National Provider Identifier (NPI) is 1417716564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Line Pharmacy Inc?
- Green Line Pharmacy Inc is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Green Line Pharmacy Inc located?
- Green Line Pharmacy Inc's practice location on file with NPPES is 8157 Lefferts Blvd, Kew Gardens, NY 11415-1728.
- What is Green Line Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Green Line Pharmacy Inc is (718) 850-5220.
- Who is the authorized official for Green Line Pharmacy Inc?
- The authorized official listed on Green Line Pharmacy Inc's NPPES record is Mikhail Aminov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Line Pharmacy Inc's NPI active?
- Yes — Green Line Pharmacy Inc's NPI (1417716564) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.