Individual provider Active NPI

Harley Raye Greene, PHARMD

  • Pharmacist
  • Lexington, SC
National Provider Identifier
1811728710
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60316 Issued in SC
Practice address
348B Columbia Ave
Lexington, SC 29072-2657
Phone
(803) 957-5969
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60316 SC Primary

Addresses

Primary practice location

348B Columbia Ave
Lexington, SC 29072-2657

Mailing address

2280 Pepper Rd
Lexington, SC 29073-8631
Phone (803) 361-0738

Other practice location 1

1300 Sunset Blvd
West Columbia, SC 29169-5914
Phone (803) 791-7043

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

LicenseStateTypeSpecialty
60316SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Mart Weco LLC PastSince Feb 9, 2025 Accepting new patients
Med Mart Lex PastSince Aug 18, 2024 Accepting new patients
M Corp PastSince Aug 18, 2024 Accepting new patients
Med Mart Weco LLC Pharmacist Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1811728710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 PEPPER RD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290738631",
            "telephone_number": "803-361-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348B COLUMBIA AVE",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722657",
            "telephone_number": "803-957-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291695914",
            "country_code": "US",
            "telephone_number": "803-791-7043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE",
        "first_name": "HARLEY",
        "middle_name": "RAYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.