Green Line Apothecary of Providence LLC
NPI 1750862983 · Community/Retail Pharmacy · Providence, RI
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Line Apothecary of Providence LLC is a Community/Retail Pharmacy organization in Providence, RI (NPI 1750862983).
Provider details
- NPI number
- 1750862983
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Christina Procaccianti, Ceo(401) 360-3200
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
248 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 164 | $33 |
| Admn Sarscov2 Vacc 1 Dose90480 | 84 | $44 |
Typical Medicare-allowed amounts for these services range $33–$44 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Green Line Apothecary
Registry dates
- Enumerated
- 2018-08-26
- Last updated
- 2023-09-15
- Certified
- 2023-09-15
Frequently asked questions
- What is Green Line Apothecary of Providence LLC's NPI number?
- Green Line Apothecary of Providence LLC's National Provider Identifier (NPI) is 1750862983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Line Apothecary of Providence LLC?
- Green Line Apothecary of Providence LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Green Line Apothecary of Providence LLC located?
- Green Line Apothecary of Providence LLC's practice location on file with NPPES is 905 N Main St, Providence, RI 02904-5744.
- What is Green Line Apothecary of Providence LLC's phone number?
- The practice phone number listed in the NPPES registry for Green Line Apothecary of Providence LLC is (401) 633-8100.
- Does Green Line Apothecary of Providence LLC accept Medicare?
- Green Line Apothecary of Providence 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 Line Apothecary of Providence LLC?
- The authorized official listed on Green Line Apothecary of Providence LLC's NPPES record is Christina Procaccianti, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Line Apothecary of Providence LLC's NPI active?
- Yes — Green Line Apothecary of Providence LLC's NPI (1750862983) is active in the NPPES registry as of the last update on 2023-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.