NPIMap

Individual provider Active NPI

Kristen Leigh Greene, PHARMD

  • Pharmacist
  • Albany, GA
National Provider Identifier
1013564681
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031477 Issued in GA
Practice address
2715 Dawson Rd
Albany, GA 31707-1673
Phone
(229) 438-2890
NPI assigned
Aug 19, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031477 GA Primary

Addresses

Primary practice location

2715 Dawson Rd
Albany, GA 31707-1673

Mailing address

459 Amboy Rd
Arabi, GA 31712-2342
Phone (229) 322-1311

Other practice location 1

620 Virginia Ave N
Tifton, GA 31794-4227
Phone (229) 386-1171

Other practice location 2

1212 US 19 S
Leesburg, GA 31763-4877
Phone (229) 431-0569

Other practice location 3

1741 Gornto Rd
Valdosta, GA 31601-8408
Phone (229) 333-2582

Other practice location 4

3330 Inner Perimeter Rd
Valdosta, GA 31602-7063
Phone (229) 671-9840

Other practice location 5

378 Veterans Pkwy N
Moultrie, GA 31788-4171
Phone (229) 217-4816

Other practice location 6

13775 US 19 S
Thomasville, GA 31792-5398
Phone (229) 228-6419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH031477GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc PastSince Aug 25, 2019 Accepting new patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1013564681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 AMBOY RD",
            "city": "ARABI",
            "state": "GA",
            "postal_code": "317122342",
            "telephone_number": "229-322-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071673",
            "telephone_number": "229-438-2890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Virginia Ave N",
            "address_purpose": "LOCATION",
            "city": "Tifton",
            "state": "GA",
            "postal_code": "317944227",
            "country_code": "US",
            "telephone_number": "229-386-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 US 19 S",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317634877",
            "country_code": "US",
            "telephone_number": "229-431-0569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1741 Gornto Rd",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316018408",
            "country_code": "US",
            "telephone_number": "229-333-2582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3330 Inner Perimeter Rd",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316027063",
            "country_code": "US",
            "telephone_number": "229-671-9840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "378 Veterans Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317884171",
            "country_code": "US",
            "telephone_number": "229-217-4816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13775 US 19 S",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317925398",
            "country_code": "US",
            "telephone_number": "229-228-6419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "KRISTEN",
        "middle_name": "LEIGH",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.