Active NPI
John Guy Green III, RPH
- Pharmacist
- Gainesville, GA
National Provider Identifier
1437393956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 013183
- Practice address
- 3640 Mundy Mill Rd
Gainesville, GA 30504-4152 - Phone
- (770) 532-9111
- Fax
- (770) 536-7858
- NPI assigned
- Apr 28, 2009
- Sex
- Male
- 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 | 013183 | GA | Primary |
Addresses
Primary practice location
3640 Mundy Mill Rd
Gainesville, GA 30504-4152
Mailing address
859 Franklin Springs St
Royston, GA 30662-3931
Phone (706) 245-8595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013183 | GA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672099200000",
"number": "1437393956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "859 FRANKLIN SPRINGS ST",
"city": "ROYSTON",
"state": "GA",
"postal_code": "306623931",
"telephone_number": "706-245-8595",
"fax_number": "770-536-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 MUNDY MILL RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305044152",
"telephone_number": "770-532-9111",
"fax_number": "770-536-7858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "JOHN",
"middle_name": "GUY",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-28",
"last_updated": "2022-12-27",
"certification_date": "2022-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "013183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.