Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Line Supply LLC

Organization Long Term Care Pharmacy · NPI 1386450153

Green Line Supply LLC is a Long Term Care Pharmacy in Riverside, Rhode Island. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10 Tripps Ln
Riverside, RI 02915-3014
Phone: (401) 360-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X

Record details

NPI number1386450153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Procaccianti — President · (401) 360-3200
NPI enumeratedDecember 6, 2024
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address203 Main St, Wakefield, RI 02879-3557