Individual provider Active NPI

James Christopher Green, RPH

  • Pharmacist
  • Knoxville, TN
National Provider Identifier
1033212402
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000028945 Issued in TN
Practice address
8040 Ray Mears Blvd
Target Pharmacy T-0151
Knoxville, TN 37919-5457
Phone
(865) 560-1550
Fax
(865) 560-1550
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13520 AL
Pharmacist 183500000X 0000028945 TN Primary

Addresses

Primary practice location

8040 Ray Mears Blvd
Target Pharmacy T-0151
Knoxville, TN 37919-5457

Mailing address

8040 Ray Mears Blvd
Target Pharmacy T-0151
Knoxville, TN 37919-5457
Phone (865) 560-1550

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
13520ALMDPharmacist
0000028945TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1033212402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 RAY MEARS BLVD",
            "address_2": "TARGET PHARMACY T-0151",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195457",
            "telephone_number": "865-560-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 RAY MEARS BLVD",
            "address_2": "TARGET PHARMACY T-0151",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379195457",
            "telephone_number": "865-560-1550",
            "fax_number": "865-560-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JAMES",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "13520",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000028945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.