Active NPI
John S Greene, RPH
- Pharmacist
- Daphne, AL
National Provider Identifier
1053628818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 32083
- Practice address
- 25495 Ravenwood Cir
Daphne, AL 36526-8255 - Phone
- (850) 567-9126
- Fax
- (904) 212-1042
- NPI assigned
- Aug 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 32083 | FL | Primary |
| Pharmacist | 183500000X | 13379 | AL |
Addresses
Primary practice location
25495 Ravenwood Cir
Daphne, AL 36526-8255
Mailing address
25495 Ravenwood Cir
Daphne, AL 36526-8255
Phone (850) 567-9126
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32083 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283212800000",
"number": "1053628818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25495 RAVENWOOD CIR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268255",
"telephone_number": "850-567-9126",
"fax_number": "904-212-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25495 RAVENWOOD CIR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365268255",
"telephone_number": "850-567-9126",
"fax_number": "904-212-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JOHN",
"middle_name": "S",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "32083",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "13379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.