NATHANIEL GREEN (NPI# 1083969588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083969588 |
| Entity Type | Individual |
| Full Name | NATHANIEL GREEN |
| Credential | PHARMD |
| Practice Address |
1025 S Milton Rd Flagstaff AZ 86001-6349 |
| Mailing Address |
78 N Granada Cir Casa Grande AZ 85122-5706 |
| Practice Telephone | 9287799588 |
| Mailing Telephone | 5202297196 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S019128 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770852071 | Nathaniel Stuart Green | Massage Therapist | 2245 Buckhorn Springs Rd, Ashland, OR 97520-8768 | 2011-12-16 |
| 1750877197 | Nathaniel Green | Pediatrics | 5501 Old York Rd., Levy Building, 2f C/o Coretta Philgence, Philadelphia, PA 19141 | 2018-07-09 |
| 1255787354 | Nathaniel Green | Counselor | 2023 S 17th St, Wilmington, NC 28401-6600 | 2016-05-06 |
| Street Address |
1025 S MILTON RD |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-6349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366457616 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2006-07-29 |
| 1326567793 | Jacalyn Swarczewski | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2017-09-16 |
| 1588034706 | Michael Kinstedt | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2015-09-30 |
| 1821471376 | Travis Jay Martinez | Student in an Organized Health Care Education/Training Program | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2015-07-01 |
| 1275840373 | Robert Krar | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2010-09-10 |
| 1902112311 | Rhonda Corcoran | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2010-08-23 |
| 1720318983 | Lara S Monsman | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2010-01-10 |
| 1952631202 | Jennifer Kakert | Pharmacist | 1025 S Milton Rd, Flagstaff, AZ 86001-6349 | 2010-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| 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 |
|---|---|---|---|---|
| 1346698917 | Ashlee Pugliano | Pharmacist | 66 W Separation Canyon Trl, Flagstaff, AZ 86005-8362 | 2016-05-24 |
| 1952738643 | Independent Pharmacy Solutions | Pharmacist | 6100 N Smokerise Dr, Flagstaff, AZ 86004-2772 | 2013-09-26 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| 1528369758 | Jonathan S Gleeman | Pharmacist | 1500 E. Cedar Ave., Flagstaff, AZ 86004-1641 | 2010-11-04 |
| 1316247885 | Ronald H Burr | Pharmacist | 4910 N Highway 89, Flagstaff, AZ 86004 | 2010-10-29 |
| 1396059960 | Shannon Mccutcheon | Pharmacist | 1416 E Route 66, Flagstaff, AZ 86001-4820 | 2010-08-05 |
| 1285962209 | Dennis Peter Sperle | Pharmacist | 6300 N Us Highway 89, Flagstaff, AZ 86004-2761 | 2009-12-02 |
| 1235385998 | Chadwick Mellen | Pharmacist | 1300 W University Ave Ste 200, Flagstaff, AZ 86001-7228 | 2008-08-13 |
| 1710159041 | Douglas E. Baer Sr. | Pharmacist | 1808 N Edgewood St, Flagstaff, AZ 86004-8711 | 2008-03-27 |
| 1205025640 | Daniel Wayne Dalton | Pharmacist | 10332 E Palomino Rd, Flagstaff, AZ 86004-9102 | 2007-10-22 |
| Find all providers in FLAGSTAFF | ||||
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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.