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Green Tree Pharmacy, Inc.

NPI 1245221068ActiveOrganization· Pharmacy· Minonk, IL

Pharmacy in Minonk, Illinois, registered in NPPES in November 2005. The authorized official on file is Charles T. George, PHARMD, Vice President. Medicare paid $304,140 for services to 1,187 patients in 2024.

Overview

NPI1245221068
StatusActive
Entity typeOrganization
NPI issuedNov 1, 2005
Last updated in NPPESAug 29, 2024
Certified by providerAug 29, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X058-013453IL
Pharmacy333600000X032-006965IL
Pharmacy, Long Term Care Pharmacy3336L0003X058-013453IL
Pharmacy, Specialty Pharmacy3336S0011X058-013453IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (IL); Part B Supplier - Mass Immunization (Roster Biller Only) (IL)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients1,187
Services billed3,396 across 8 procedure codes
Paid by Medicare$304,140

Medicare sources and data years