Active NPI
Jenna Leigh Green, PHARMD
- Pharmacist
- Largo, FL
National Provider Identifier
1083217905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS61634
- Practice address
- 51 Missouri Ave N
Largo, FL 33770-3761 - Phone
- (727) 518-2951
- NPI assigned
- Nov 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS61634 | FL | Primary |
Addresses
Primary practice location
51 Missouri Ave N
Largo, FL 33770-3761
Mailing address
8717 Palisades Dr
Tampa, FL 33615-4924
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS61634 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605916800000",
"number": "1083217905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8717 PALISADES DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336154924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 MISSOURI AVE N",
"city": "LARGO",
"state": "FL",
"postal_code": "337703761",
"telephone_number": "727-518-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JENNA",
"middle_name": "LEIGH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-21",
"last_updated": "2020-11-21",
"certification_date": "2020-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS61634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, FL
- Greater Florida Anesthesiologists, LLC
- Greater Tampa Bay Transportation LLC (Express Medical Transporters)
- Dmitry A. Grebenev, M.D.
- Green Senior Care of Largo LLC (Sweet Water At Largo)
- Brett J Green, PHARM.D.
- Julie Ann Green, SLP
- William R Greenberg, MD
- Erica Terneal Greene, RBT
- Geoffrey S. Greene, M.D.
- Heather Lamere Greenfield, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.