Robert Lawrence Greene, PHARM.D.
Individual provider Active NPI Pharmacist · Clayton, NY
NPI 1124314844 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1124314844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 053523 (NY)
- Practice address
- 822 James St
Clayton, NY 13624-1404 - Phone
- (315) 686-5121
- NPI assigned
- Jun 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053523 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past |
Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients | |
| KPH Healthcare Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 053523 | NY | Yes |
Addresses
Primary practice location
822 James St
Clayton, NY 13624-1404
Mailing address
822 James St
Clayton, NY 13624-1404
Phone (315) 686-5121
Other providers in Clayton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.