Active NPI
Ira Green, RPH
- Pharmacist
- Washingtonville, NY
National Provider Identifier
1104140458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23917
- Practice address
- 30 Brotherhood Plaza Dr
Washingtonville, NY 10992-2272 - Phone
- (845) 351-2255
- NPI assigned
- Mar 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23917 | NY | Primary |
Addresses
Primary practice location
30 Brotherhood Plaza Dr
Washingtonville, NY 10992-2272
Mailing address
27 Fawn Hill Rd
Tuxedo Park, NY 10987-3511
Phone (845) 351-2255
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 |
|---|---|---|---|
| 23917 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1104140458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 FAWN HILL RD",
"city": "TUXEDO PARK",
"state": "NY",
"postal_code": "109873511",
"telephone_number": "845-351-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 BROTHERHOOD PLAZA DR",
"city": "WASHINGTONVILLE",
"state": "NY",
"postal_code": "109922272",
"telephone_number": "845-351-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "IRA",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-16",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "23917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washingtonville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.