Active NPI
Jordon Greene, PHARMD
- Pharmacist
- Copperas Cove, TX
National Provider Identifier
1972901932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55798
- Practice address
- 527 E Business 190
Copperas Cove, TX 76522-2915 - Phone
- (254) 527-1630
- NPI assigned
- Dec 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 55798 | TX | Primary |
Addresses
Primary practice location
527 E Business 190
Copperas Cove, TX 76522-2915
Mailing address
1606 Paper Moon Dr
Cedar Park, TX 78613-1404
Phone (217) 725-4433
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 |
|---|---|---|---|
| 55798 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1972901932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 PAPER MOON DR",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786131404",
"telephone_number": "217-725-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 E BUSINESS 190",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222915",
"telephone_number": "254-527-1630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENE",
"first_name": "JORDON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "55798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.