Active NPI
Elizabeth Green, PHARM.D.
- Pharmacist
- Dodgeville, WI
National Provider Identifier
1902180995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15979-40
- Practice address
- 1133 N Johns St
Dodgeville, WI 53533-1277 - Phone
- (608) 935-2041
- NPI assigned
- Oct 7, 2011
- Last updated
- Feb 20, 2020
- 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 | 15979-40 | WI | Primary |
Addresses
Primary practice location
1133 N Johns St
Dodgeville, WI 53533-1277
Mailing address
104 N Main St
Verona, WI 53593-1160
Other practice location 1
104 N Main St
Verona, WI 53593-1160
Phone (608) 848-7154
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 |
|---|---|---|---|
| 15979-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1133 N Johns St
Dodgeville, WI 53533
Phone (608) 935-2041
Organizations & group practices 2
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": "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": []
}Other providers in Dodgeville, WI
Sources for this page
- 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.