Active NPI
Daniel Green
- Geriatric Pharmacist
- Moorestown, NJ
National Provider Identifier
1174045983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 28RI03567200
- Practice address
- 228 Strawbridge Dr
Moorestown, NJ 08057-4600 - Phone
- (856) 655-8360
- Fax
- (856) 655-8360
- NPI assigned
- Jul 13, 2017
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 28RI03567200 | NJ | Primary |
Addresses
Primary practice location
228 Strawbridge Dr
Moorestown, NJ 08057-4600
Mailing address
228 Strawbridge Dr
Moorestown, NJ 08057-4600
Phone (856) 655-8360
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03567200 | NJ | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1174045983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 STRAWBRIDGE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574600",
"telephone_number": "856-655-8360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 STRAWBRIDGE DR",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080574600",
"telephone_number": "856-655-8360",
"fax_number": "856-655-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-13",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "NJ",
"license": "28RI03567200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.