Active NPI
Lisa R Greene, PHARMACIST
- Pharmacist
- Easton, MD
National Provider Identifier
1457909319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13994
- Practice address
- 8155 Elliott Rd
Easton, MD 21601-7131 - Phone
- (410) 819-0507
- Fax
- (410) 819-0847
- NPI assigned
- Sep 3, 2019
- Last updated
- Sep 3, 2019
- 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 | 13994 | MD | Primary |
Addresses
Primary practice location
8155 Elliott Rd
Easton, MD 21601-7131
Mailing address
8155 Elliott Rd
Easton, MD 21601-7185
Phone (410) 819-0507
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | EASTON | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 13994 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-1715
- Community/Retail Pharmacy
- Easton, MD
- NPI 1184641458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1457909319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8155 ELLIOTT RD",
"city": "EASTON",
"state": "MD",
"postal_code": "216017185",
"telephone_number": "410-819-0507",
"fax_number": "410-819-0847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8155 ELLIOTT RD",
"city": "EASTON",
"state": "MD",
"postal_code": "216017131",
"telephone_number": "410-819-0507",
"fax_number": "410-819-0847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "LISA",
"middle_name": "R",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "13994",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "EASTON",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "8155 Elliott Rd",
"city": "Easton",
"state": "MD",
"country_code": "US",
"postal_code": "216017131",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Easton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.