Active NPI
Lisa Marie Greene
- Pharmacist
- Lake Preston, SD
National Provider Identifier
1497487359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6961
- Practice address
- 406 1St St NE
Lake Preston, SD 57249-2334 - Phone
- (605) 860-0021
- NPI assigned
- Jun 29, 2022
- 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 | 6961 | SD | Primary |
Addresses
Primary practice location
406 1St St NE
Lake Preston, SD 57249-2334
Mailing address
PO Box 71
Lake Preston, SD 57249-0071
Phone (605) 860-0021
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 |
|---|---|---|---|
| 6961 | SD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1497487359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"city": "LAKE PRESTON",
"state": "SD",
"postal_code": "572490071",
"telephone_number": "605-860-0021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 1ST ST NE",
"city": "LAKE PRESTON",
"state": "SD",
"postal_code": "572492334",
"telephone_number": "605-860-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "LISA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-29",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SD",
"license": "6961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Preston, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.