KACI LEIGH GREEN (NPI# 1063786986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063786986 |
| Entity Type | Individual |
| Full Name | KACI LEIGH GREEN |
| Credential | PHARMD |
| Practice Address |
510 S Rogers St Clarksville AR 72830-3746 |
| Practice Telephone | 4796473138 |
| Mailing Telephone | 4796473138 |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD11399 | AR | Pharmacy Service Providers |
| Street Address |
510 S ROGERS ST |
| City | CLARKSVILLE |
| State | AR |
| Zip Code | 72830-3746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992216642 | 3d Physical Therapy and Sports Medicine, LLC | Clinic/Center | 510 S Rogers St, Clarksville, AR 72830-3746 | 2017-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1083186431 | Kayla Chinchilla | Counselor | 106 Cherokee Lane, Clarksville, AR 72830 | 2018-12-26 |
| 1669995619 | Karla D Snow | Case Manager/Care Coordinator | 718 Brown Street, Clarksville, AR 72830 | 2017-07-21 |
| 1811426232 | Netscript Telemedicine Solutions | Family Medicine | 235 Cr 3520, Clarksville, AR 72830 | 2017-06-08 |
| 1275882060 | Shay Morgan | Dietitian, Registered | 1100 East Poplar Street, Clarksville, AR 72830 | 2012-09-07 |
| 1518111566 | Melisa Leann Traylor | Case Manager/Care Coordinator | 522 Mill Road, Clarksville, AR 72830 | 2008-11-04 |
| 1669635280 | Family Foot Clinic | Podiatrist | 203 Sevier St, Clarksville, AR 72830 | 2008-07-03 |
| 1891969721 | Scott Lee Landis | Counselor | 522 Mills Rd., Clarksville, Ar, AR 72830 | 2008-04-22 |
| 1437364684 | Snider Family Chiropractic Clinic | Chiropractor | 1012 Poplar St., Clarksville, AR 72830 | 2007-05-11 |
| 1376765917 | Jones Speech Therapy | Speech-Language Pathologist | 1312 North Harmony Road, Clarksville, AR 72830 | 2007-05-03 |
| Find all providers in zip 72830 | ||||
| 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 |
|---|---|---|---|---|
| 1780294553 | Widad H Mohammed | Pharmacist | 6383 Ten Oaks Rd, Clarksville, MD 21029-1104 | 2020-08-05 |
| 1649737545 | Marilyn Elaine Laster | Pharmacist | 211 East Main St, Clarksville, AR 72830 | 2019-02-27 |
| 1366918120 | Tbony Marie Jewell | Pharmacist | 588 Fire Station Rd Ste F, Clarksville, TN 37043-4091 | 2018-10-19 |
| 1528589280 | Laura Kaitlyn Thomason | Pharmacist | 2896 Sharpie Dr, Clarksville, TN 37040-9509 | 2017-07-03 |
| 1851833891 | Kojo Spio | Pharmacist | 1106 Veterans Parkway, Clarksville, IN 47129 | 2016-11-08 |
| 1417320367 | Tae Seung Oh | Pharmacist | 5301 Aerie Ct, Clarksville, MD 21029-1103 | 2015-11-01 |
| 1144610809 | Whitney Dulin | Pharmacist | 2197 Madison St Ste 109, Clarksville, TN 37043-5253 | 2015-02-02 |
| 1811301161 | Elizabeth Okang | Pharmacist | 11809 Chapel Woods Ct, Clarksville, MD 21029-1117 | 2014-06-15 |
| 1396086856 | Chiyon Lee | Pharmacist | 6321 Kerne Ct, Clarksville, MD 21029-1558 | 2013-03-08 |
| 1366707424 | Lopa B Patel | Pharmacist | 7319 Meadow Wood Way, Clarksville, MD 21029-1727 | 2012-07-05 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 72830 |
Please comment or provide details below to improve the information on KACI LEIGH GREEN.
| 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.