Elizabeth Green, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

15979-40 Issued in WI

Practice address

1133 N Johns St
Dodgeville, WI 53533-1277

Phone

(608) 935-2041

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Dodgeville, WI
  • NPI 1134336910
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1902180995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N JOHNS ST",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331277",
            "telephone_number": "608-935-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 N Main St",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "WI",
            "postal_code": "535931160",
            "country_code": "US",
            "telephone_number": "608-848-7154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "15979-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kymberly Fritz, D.D.S.
• Thomas Allen Geer, LPN
• Greg Geiselman, PTA
• Angela Maria Gielniewski
• Laura Jean Gjestson, LCSW LICENSED CLINCI
• Sierra Naomi Gunderson
• Rachel Hartline, MD
• Healthstat Health Center-Lands' End
• Joshua T Hess
• Barbara R Hostetler, MD

• Pharmacist in Dodgeville, WI
• Providers in Dodgeville, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.