Active NPI
Holly Green, PHARMD
- Pharmacist
- Ann Arbor, MI
National Provider Identifier
1205480332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4025
- Practice address
- 2215 Fuller Rd
Ann Arbor, MI 48105-2303 - Phone
- (734) 769-7100
- NPI assigned
- Jul 26, 2019
- Sex
- Female
- 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 | 4025 | WY | Primary |
Addresses
Primary practice location
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Mailing address
2215 Fuller Rd
Ann Arbor, MI 48105-2303
Other practice location 1
991 N Willis St
Abilene, TX 79603-4620
Phone (970) 231-9542
Other practice location 2
7th Medical Group
697 Louisiana Dr
Dyess AFB, TX 79607
Phone (325) 696-3287
Other practice location 3
Us Hwy 491 N
Shiprock, NM 87420
Phone (505) 368-6001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4025 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1205480332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 FULLER RD",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052303",
"telephone_number": "734-769-7100"
}
],
"practiceLocations": [
{
"address_1": "991 N Willis St",
"address_purpose": "LOCATION",
"city": "Abilene",
"state": "TX",
"postal_code": "796034620",
"country_code": "US",
"telephone_number": "970-231-9542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7th Medical Group",
"address_2": "697 Louisiana Dr",
"address_purpose": "LOCATION",
"city": "Dyess AFB",
"state": "TX",
"postal_code": "79607",
"country_code": "US",
"telephone_number": "325-696-3287",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Us Hwy 491 N",
"address_purpose": "LOCATION",
"city": "Shiprock",
"state": "NM",
"postal_code": "87420",
"country_code": "US",
"telephone_number": "505-368-6001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREEN",
"first_name": "HOLLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-26",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "4025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ann Arbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.