Justin Tyler Green, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

26444 Issued in NC

Practice address

9815 Rose Commons Dr
Huntersville, NC 28078-3334

Phone

(704) 948-4806

Fax

(704) 464-3234

NPI assigned

Aug 13, 2016

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1225582760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 ROSE COMMONS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783334",
            "telephone_number": "704-948-4806",
            "fax_number": "704-464-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 ROSE COMMONS DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280783334",
            "telephone_number": "704-948-4806",
            "fax_number": "704-464-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JUSTIN",
        "middle_name": "TYLER",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-13",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26444",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "36767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaundria Grant
• Brandee Grate-Perry, LCSWA
• Angela Pham Graves, PHARMD
• Lee V Gray III, M.D.
• Jillianne Grayson, M.D.
• Krystie M Green, LCSWA
• Kristen Scarlett Greene, MSW, LCSWA
• Greg Ott's Center for Physical Therapy and Sports Performance, LLC
• Aaron Gresens, DC
• Brittany Grey, M.A., CCC-SLP

• Pharmacist in Huntersville, NC
• Providers in Huntersville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.