Active NPI
Wendy Evans Greenway, RPH
- Pharmacist
- Lilburn, GA
National Provider Identifier
1376881474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17860
- Practice address
- 4045 Five Forks Trickum Rd SW
Lilburn, GA 30047-2351 - Phone
- (770) 381-4176
- Fax
- (770) 381-7559
- NPI assigned
- Jan 24, 2013
- Last updated
- Jan 24, 2013
- 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 | 17860 | GA | Primary |
Addresses
Primary practice location
4045 Five Forks Trickum Rd SW
Lilburn, GA 30047-2351
Mailing address
1434 Braxford Trce
Lawrenceville, GA 30044-6178
Phone (770) 736-7976
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1376881474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1434 BRAXFORD TRCE",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300446178",
"telephone_number": "770-736-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 FIVE FORKS TRICKUM RD SW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472351",
"telephone_number": "770-381-4176",
"fax_number": "770-381-7559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENWAY",
"first_name": "WENDY",
"middle_name": "EVANS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-24",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "17860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lilburn, GA
- Tiarah Annesia Gowens, MCMHC
- Gracepoint Counseling Associates (GracePoint Counseling Associates, LLC)
- Faith Michelle Gray, M.D.
- Greater Gwinnett Physician Practice Company (Mountain East Family Medicine)
- Gary R Greenwald, DDS
- Karen J Groban, L.C.S.W.
- Grow-N2B-Better Therapeutic Services
- Padmini Gunadeva, MD
- Shivane K Gupta, MD
- Isabel Guzman-Gomez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.