Active NPI
Brandon Green, PHARMD
- Pharmacist
- Centennial, CO
National Provider Identifier
1508401126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22131
- Practice address
- 7472 S Tucson Way Ste 100
Centennial, CO 80112-3964 - Phone
- (884) 792-0008
- NPI assigned
- Nov 7, 2019
- 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 | 22131 | CO | Primary |
Addresses
Primary practice location
7472 S Tucson Way Ste 100
Centennial, CO 80112-3964
Mailing address
3354 S Niagara Way
Denver, CO 80224-2828
Phone (972) 207-2864
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22131 | CO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1508401126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3354 S NIAGARA WAY",
"city": "DENVER",
"state": "CO",
"postal_code": "802242828",
"telephone_number": "972-207-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7472 S TUCSON WAY STE 100",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801123964",
"telephone_number": "884-792-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BRANDON",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-07",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "22131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.