DEREK R. GREEN (NPI# 1003096694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003096694 |
| Entity Type | Individual |
| Full Name | DEREK R. GREEN |
| Credential | PHARM.D. |
| Practice Address |
1401 Professional Blvd Suite 101 Evansville IN 47714-8011 |
| Practice Telephone | 8129623500 |
| Practice Fax Number | 8129623599 |
| Mailing Telephone | 8129623500 |
| Mailing Fax Number | 8129623599 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2007-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26020548A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164950457 | Derek Green | Dentist | 8535 E Hartford Dr Ste 202, Scottsdale, AZ 85255-5444 | 2017-05-31 |
| 1285946822 | Derek A Green | Physical Therapist | 330 Ne Marshall Ave, Bend, OR 97701-4346 | 2010-07-12 |
| Street Address |
1401 PROFESSIONAL BLVD SUITE 101 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47714-8011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083615579 | Jacob Paul Mayer | Pharmacist | 1401 Professional Blvd, Suite 101, Evansville, IN 47714-8011 | 2005-08-09 |
| 1689049223 | Prime By Aseracare LLC | Internal Medicine | 1401 Professional Blvd, Ste 201, Evansville, IN 47714-8014 | 2015-12-08 |
| 1164866604 | Southern Indiana Gastroenterology,llc | Internal Medicine | 1401 Professional Blvd, Ste 200, Evansville, IN 47714-8014 | 2013-04-27 |
| 1578825840 | Hospice Preferred Choice, Inc. | Emergency Medicine | 1401 Professional Blvd, Suite 201, Evansville, IN 47714-8014 | 2012-06-13 |
| 1942429121 | Jessica Macleod | Nurse Practitioner | 1401 Professional Blvd, Suite 200, Evansville, IN 47714-8011 | 2007-04-25 |
| 1023235090 | Roberta E. Hoebeke | Nurse Practitioner | 1401 Professional Blvd, Suite 100, Evansville, IN 47714-8014 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922343490 | Mary Elizabeth Esche | Physical Therapist | 3701 Bellemead Ave, Evansville, IN 47714 | 2012-12-10 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1235446014 | Angela Kay Bradford-heidorn | Counselor | 4601 Bayard Park Drive, Evansville, IN 47714 | 2010-09-01 |
| 1104131655 | Cynthia D Lewis | Nurse Practitioner | 3700 Washington Ave Ste 202, Evansville, IN 47714 | 2010-08-09 |
| 1033357363 | Sarah M Voelkel | Podiatrist | 3801 Bellemeade Ave Ste 110a, Evansville, IN 47714 | 2009-01-23 |
| 1346443892 | Shilpa D Gaitonde | Internal Medicine | 3801 Bellemeade Ave Ste 300, Evansville, IN 47714 | 2007-06-11 |
| 1437361516 | Oncology Hematology Associates of Southwest Indiana | Internal Medicine | 3801 Bellemeade Suite 110, Evansville, IN 47714 | 2007-05-03 |
| 1629105374 | Comprehensive Neurosurgical Specialists, LLC | Neurological Surgery | 801 St Mary's Drive, Suite 505 East, Evansville, IN 47714 | 2007-02-28 |
| 1447387949 | Emily Mills | Physical Therapy Assistant | 1800 Elmendorf Avenue, Evanville, IN 47714 | 2007-02-28 |
| 1023153194 | Glen Gilbert Millikan II | Pharmacist | 1550 S. Vann Ave, Evansville, IN 47714 | 2007-02-20 |
| Find all providers in zip 47714 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1508497611 | Jeremy Lewis Mann | Pharmacist | 1150 S Green River Rd, Evansville, IN 47715-6804 | 2020-01-28 |
| 1366092678 | Traci Fritschle | Pharmacist | 520 Mary St Ste 330, Evansville, IN 47710-1679 | 2019-09-18 |
| 1831560416 | Anna Terese Cochrane | Pharmacist | 1201 Cross Pointe Pl, Evansville, IN 47715-9168 | 2015-10-08 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1386908069 | Donald Walz | Pharmacist | 8009 Old Orchard Trl, Evansville, IN 47712-7328 | 2012-06-27 |
| 1770852204 | Tom William Seto | Pharmacist | 8515 Talbot Dr, Evansville, IN 47725-7503 | 2011-12-29 |
| 1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
| 1649553728 | Kimberly Hill | Pharmacist | 3323 N Green River Rd, Evansville, IN 47715-1351 | 2011-09-24 |
| 1821371071 | Elizabeth D Parker | Pharmacist | 4301 N 1st Ave, Evansville, IN 47710-3619 | 2011-09-23 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47714 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.