Daniel Michael Green, RPH
Individual provider Active NPI Pharmacist · Spring House, PA
NPI 1194314484 · NPPES record last updated Jan 12, 2021
Key facts
- NPI
- 1194314484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP448965 (PA)
- Practice address
- 901 Sumneytown Pike
Spring House, PA 19477 - Phone
- (215) 646-5089
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP448965 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Pennsylvania CVS Pharmacy LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP448965 | PA | Yes |
Addresses
Primary practice location
901 Sumneytown Pike
Spring House, PA 19477
Mailing address
901 Sumneytown Pike
Spring House, PA 19477-1008
Phone (215) 646-5089
Other providers in Spring House, PA
- Phyllis Goldberg
- Gomberg Psychiatric Associates, Inc.
- Lindsay Ariel Goodstein
- Christopher W Grala
- Norman J Graulich
- Dana Harbison
- Allison Harman
- Home Companion Inc
- Hoorfar Dental Group Spring House LLC
- Timothy Adam Horwedel
All providers in Spring House, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2021. 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.