Active NPI
Austin Green, PHARMD, MPH, BCPS
- Ambulatory Care Pharmacist
- Sacramento, CA
National Provider Identifier
1669115499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- 83095
- Practice address
- 501 J St
Sacramento, CA 95814-2325 - Phone
- (916) 497-2240
- NPI assigned
- Apr 19, 2022
- 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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | 83095 | CA | Primary |
Addresses
Primary practice location
501 J St
Sacramento, CA 95814-2325
Mailing address
1420 16TH St Apt 205
Sacramento, CA 95814-5033
Phone (432) 770-0767
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 |
|---|---|---|---|
| 83095 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1669115499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 16TH ST APT 205",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958145033",
"telephone_number": "432-770-0767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958142325",
"telephone_number": "916-497-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "AUSTIN",
"credential": "PHARMD, MPH, BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-19",
"last_updated": "2022-04-19",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "83095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.