David Lee Greene, RPH
Individual provider Active NPI Pharmacist · Steele, MO
NPI 1467552141 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1467552141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 040616 (MO)
- Practice address
- 128 W Main St
Steele, MO 63877-1434 - Phone
- (573) 695-4533
- Fax
- (573) 695-3327
- NPI assigned
- Sep 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040616 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Steele Greene Pharmacy, Inc | Current | Accepting new patients | |
| Greene Pharmacy | Current | Accepting new patients |
Locations
128 W Main St
Steele, MO 63877
Phone (573) 695-4533
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040616 | MO | Yes |
Addresses
Primary practice location
128 W Main St
Steele, MO 63877-1434
Mailing address
128 W Main St
Steele, MO 63877-1434
Phone (573) 695-4533
Other providers in Steele, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.