Active NPI
Richard Charles Greene, R.PH.
- Pharmacist
- Surfside Beach, SC
National Provider Identifier
1659653244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 007676
- Practice address
- 1610 Highway 17 S
Surfside Beach, SC 29575-6082 - Phone
- (843) 650-4536
- Fax
- (843) 650-4536
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 007676 | SC | Primary |
Addresses
Primary practice location
1610 Highway 17 S
Surfside Beach, SC 29575-6082
Mailing address
1610 Highway 17 S
Surfside Beach, SC 29575-6082
Phone (843) 650-4536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007676 | Other | SC | SOUTH CAROLINA PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007676 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1659653244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 HIGHWAY 17 S",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756082",
"telephone_number": "843-650-4536",
"fax_number": "843-650-4536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 HIGHWAY 17 S",
"city": "SURFSIDE BEACH",
"state": "SC",
"postal_code": "295756082",
"telephone_number": "843-650-4536",
"fax_number": "843-650-4536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "RICHARD",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-09",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "007676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH CAROLINA PHARMACIST LICENSE",
"identifier": "007676",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surfside Beach, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.