Ronald Shane Greene, PHARMD, BCPS

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

38587 Issued in TX

Practice address

900 Jerome St Ste 400
Fort Worth, TX 76104-3942

Phone

(817) 732-6060

Fax

(817) 731-2541

NPI assigned

Sep 2, 2006

Last updated

Jun 10, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1245332030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 MCGARRY LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760637926",
            "telephone_number": "817-437-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 JEROME ST STE 400",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043942",
            "telephone_number": "817-732-6060",
            "fax_number": "817-731-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE",
        "first_name": "RONALD",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "TX",
            "license": "38587",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "38587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenbriar Prime Management, LLC. (Greenbriar Mansion)
• Christina Greene, DDS
• Douglas E Greene, MD
• Julie Beth Greene, D.O.
• Monica Rose Greene, P.T.
• Austin Greenhaw, M.D.
• Gabriel Greenhaw
• Greentree Health
• Don Wayne Greenwell, P.T.
• Kelly Greenwood, PA-C

• Pharmacotherapy Pharmacist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Pharmacotherapy Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.