Active NPI
Kristin L Green, PHARMD, RPH
- Pharmacist
- Woburn, MA
National Provider Identifier
1740434786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27062
- Practice address
- 15 Commonwealth Ave
Woburn, MA 01801-5193 - Phone
- (781) 486-0000
- NPI assigned
- Nov 4, 2008
- Sex
- Female
- 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 | 27062 | MA | Primary |
Addresses
Primary practice location
15 Commonwealth Ave
Woburn, MA 01801-5193
Mailing address
15 Commonwealth Ave
Woburn, MA 01801-5193
Phone (781) 486-0000
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27062 | MA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225756800000",
"number": "1740434786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COMMONWEALTH AVE",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015193",
"telephone_number": "781-486-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMONWEALTH AVE",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015193",
"telephone_number": "781-486-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "KRISTIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-04",
"last_updated": "2008-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "27062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.