Individual provider Active NPI

Erin B Greene, PHARMD

  • Pharmacist
  • Hensley, AR
National Provider Identifier
1457076960
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD09708 Issued in AR
Practice address
21019 Highway 167 Ste 100
Hensley, AR 72065-8154
Phone
(501) 486-4100
Fax
(501) 486-4101
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD09708 AR Primary

Addresses

Primary practice location

21019 Highway 167 Ste 100
Hensley, AR 72065-8154

Mailing address

21019 Highway 167 Ste 100
Hensley, AR 72065-8154
Phone (501) 486-4100

Other practice location 1

20381 Arch St
Little Rock, AR 72206-9218
Phone (501) 888-2830

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
PD09708ARMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East End Express Pharmacy Inc CurrentSince Aug 18, 2024 Accepting new patients
East End Pharmacy, Inc. Past Accepting new patients
East End Express Pharmacy Inc PastSince Oct 9, 2022 Accepting new patients
East End Pharmacy Inc Past Accepting new patients

Locations

21019 Highway 167
#100
Hensley, AR 72065
Phone (501) 486-4100

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1457076960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21019 HIGHWAY 167 STE 100",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720658154",
            "telephone_number": "501-486-4100",
            "fax_number": "501-486-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21019 HIGHWAY 167 STE 100",
            "city": "HENSLEY",
            "state": "AR",
            "postal_code": "720658154",
            "telephone_number": "501-486-4100",
            "fax_number": "501-486-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20381 Arch St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722069218",
            "country_code": "US",
            "telephone_number": "501-888-2830",
            "fax_number": "501-888-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "ERIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD09708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hensley, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.