Individual provider Active NPI

Rachel Grace Green, PHARM.D.

  • Pharmacist
  • Denver, CO
National Provider Identifier
1336547462
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0020656 Issued in CO
Practice address
1601 E 19TH Ave
Denver, CO 80218-1216
Phone
(303) 656-4656
NPI assigned
Dec 5, 2014
Last updated
Jun 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0020656 CO Primary

Addresses

Primary practice location

1601 E 19TH Ave
Denver, CO 80218-1216

Mailing address

3396 Astorbrook Cir
Highlands Ranch, CO 80126-7818
Phone (303) 956-8509

Other practice location 1

12880 W Alameda Pkwy
Lakewood, CO 80228-3115
Phone (303) 457-5145

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

LicenseStateTypeSpecialty
0020656COMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1336547462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3396 ASTORBROOK CIR",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267818",
            "telephone_number": "303-956-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181216",
            "telephone_number": "303-656-4656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12880 W Alameda Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802283115",
            "country_code": "US",
            "telephone_number": "303-457-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "RACHEL",
        "middle_name": "GRACE",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "0020656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.