Melissa M Greene, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Goshen, OH

NPI 1295375533 · NPPES record last updated Jan 15, 2020

Key facts

NPI
1295375533
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
03333664 (OH)
Practice address
6725 Dick Flynn Blvd
Goshen, OH 45122-8025
Phone
(513) 722-7460
Fax
(513) 722-7495
NPI assigned
Jan 15, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
017023KYMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
03333664OHMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Kroger Limited Partnership I Past
since Jan 19, 2020
Accepting new patients
Kroger Limited Partnership I Past
since Jan 19, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 017023 KY
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 03333664 OH Yes

Addresses

Primary practice location

6725 Dick Flynn Blvd
Goshen, OH 45122-8025

Mailing address

6725 Dick Flynn Blvd
Goshen, OH 45122-8025
Phone (513) 722-7460

Other providers in Goshen, OH

All providers in Goshen, OH · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ohio

Sources for this page

Verify at the official NPI Registry.