Active NPI
Crystal Gayle Green, PHARMD
- Pharmacist
- Boiling Springs, SC
National Provider Identifier
1851670103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13345
- Practice address
- 8951 Valley Falls Rd
Boiling Springs, SC 29316-5349 - Phone
- (864) 578-3730
- NPI assigned
- Aug 4, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13345 | SC | Primary |
Addresses
Primary practice location
8951 Valley Falls Rd
Boiling Springs, SC 29316-5349
Mailing address
8951 Valley Falls Rd
Boiling Springs, SC 29316-5349
Phone (864) 578-3730
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 |
|---|---|---|---|
| 13345 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edc Drug Stores | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Jacksonville, NC
- NPI 1992804116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1851670103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8951 VALLEY FALLS RD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293165349",
"telephone_number": "864-578-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8951 VALLEY FALLS RD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293165349",
"telephone_number": "864-578-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "CRYSTAL",
"middle_name": "GAYLE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-04",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.