Jeffrey Scott Green

Primary specialty

PharmacistTaxonomy code 183500000X

License

049541 Issued in NY

Practice address

3931 State Highway 37
Ogdensburg, NY 13669-4237

Phone

(315) 285-0125

NPI assigned

Apr 23, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1699395228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3931 STATE HIGHWAY 37",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694237",
            "telephone_number": "315-528-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 STATE HIGHWAY 37",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136694237",
            "telephone_number": "315-285-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgreen@chmed.org",
            "affiliation": "N",
            "address_1": "3931 State Highway 37",
            "city": "Ogdensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136694237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Golub Corporation
• Jacob J Gotham
• Ashleigh Graveline, OTL/R
• Stacey Sweet Graves, OTR/L
• Emily Gravlin, R.PH.
• Lori Teresa Green, RN
• Kavya Grewal, REGISTERED NURSE
• Carol E Griffith, PHD
• Caitlin Grimshaw, RN, BSN
• Katelyn Guarino

• Pharmacist in Ogdensburg, NY
• Providers in Ogdensburg, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.