Individual provider Active NPI

Sandra Evans Greene, PHARM D

  • Pharmacotherapy Pharmacist
  • Alpharetta, GA
National Provider Identifier
1083884472
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
7099 Issued in LA
Practice address
3072 Big Sky LN
Alpharetta, GA 30004-3104
Phone
(985) 640-2873
NPI assigned
Mar 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 7099 LA Primary

Addresses

Primary practice location

3072 Big Sky LN
Alpharetta, GA 30004-3104

Mailing address

3072 Big Sky LN
Alpharetta, GA 30004-3104
Phone (985) 649-2873

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
7099LAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1083884472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 BIG SKY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043104",
            "telephone_number": "985-649-2873",
            "fax_number": "770-696-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 BIG SKY LN",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300043104",
            "telephone_number": "985-640-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS GREENE",
        "first_name": "SANDRA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "LA",
            "license": "7099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.