Active NPI
Brandon Jason Green
- Pharmacist
- Salisbury, MD
National Provider Identifier
1851882104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25499
- Practice address
- 833 S Salisbury Blvd
Salisbury, MD 21801-6207 - Phone
- (443) 235-4311
- NPI assigned
- May 22, 2018
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25499 | MD | Primary |
Addresses
Primary practice location
833 S Salisbury Blvd
Salisbury, MD 21801-6207
Mailing address
301 Mill Pond LN Apt 304
Salisbury, MD 21804-2112
Phone (443) 235-4311
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25499 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1851882104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MILL POND LN APT 304",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218042112",
"telephone_number": "443-235-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S SALISBURY BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218016207",
"telephone_number": "443-235-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "BRANDON",
"middle_name": "JASON",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.