Active NPI
Bianca Greene
- Pharmacist
- Peoria, AZ
National Provider Identifier
1346570470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S013727
- Practice address
- 6817 W Peoria Ave
Peoria, AZ 85345-9324 - Phone
- (623) 878-5078
- NPI assigned
- Jan 12, 2010
- 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 | S013727 | AZ | Primary |
Addresses
Primary practice location
6817 W Peoria Ave
Peoria, AZ 85345-9324
Mailing address
6817 W Peoria Ave
Peoria, AZ 85345-9324
Phone (623) 878-5078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S013727 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1346570470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6817 W PEORIA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853459324",
"telephone_number": "623-878-5078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6817 W PEORIA AVE",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853459324",
"telephone_number": "623-878-5078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "BIANCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-12",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S013727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.