JACK GREENE (NPI# 1093100406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093100406 |
| Entity Type | Individual |
| Full Name | JACK GREENE |
| Practice Address |
10 Radcliff Ter Oak Ridge TN 37830-9013 |
| Practice Telephone | 8654824604 |
| Mailing Telephone | 8654824604 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 3205 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659687424 | Jack Clayton Greene | Physical Therapist | 100 Fitness Dr, Fuquay Varina, NC 27526-7263 | 2010-08-31 |
| 1235180134 | Jack Buchanen Greene | Family Medicine | 1120 E 34th St, Hibbing, MN 55746-2909 | 2006-05-15 |
| Street Address |
10 RADCLIFF TER |
| City | OAK RIDGE |
| State | TN |
| Zip Code | 37830-9013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194388702 | Oak Ridge Pharmacy | Pharmacy | 854 Main St W, Oak Ridge, TN 37830 | 2019-04-18 |
| 1134682693 | Mac's Pharmacy Oak Ridge, LLC | Pharmacy | 45 New York Avenue, Oak Ridge, TN 37830 | 2019-04-11 |
| 1689153876 | Tapuwa Martin Chikowore | Dentist | 377 S Illinois Ave, Oak Ridge, TN 37830 | 2018-08-09 |
| 1710475660 | Oak Ridge Smiles Dentistry, PC | Dentist | 377 S. Illinois Ave., Oak Ridge, TN 37830 | 2018-04-26 |
| 1417344763 | Heather Cupp | Social Worker | 723 Emory Valley Road, Oak Ridge, TN 37830 | 2015-04-23 |
| 1366701534 | Quality Care From The Heart | Preferred Provider Organization | 144 Newport Drive, Oak Ridge, TN 37830 | 2012-05-09 |
| 1578838223 | Second Chance Recovery In Faith, Inc | Community/Behavioral Health | 234 W Tennessee Ave, Oak Ridge, TN 37830 | 2012-03-14 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1619263852 | Namratha Reddy Vontela | Internal Medicine | 200 New York Ave Ste 200, Oak Ridge, TN 37830 | 2011-06-27 |
| 1356658165 | Fred Lewis Stephens | Social Worker | 150 E Division Rd Ste 10, Oak Ridge, TN 37830 | 2010-09-01 |
| Find all providers in zip 37830 | ||||
| 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 |
|---|---|---|---|---|
| 1790269371 | Justin Ko | Pharmacist | 5 N Glen Cir, Oak Ridge, NJ 07438-9583 | 2018-09-20 |
| 1588051825 | Olivia Irons Cleckler | Pharmacist | 5200 Saddle Brook Rd, Oak Ridge, NC 27310-9745 | 2015-04-24 |
| 1518352343 | Tia Mashburn | Pharmacist | 1199 Oak Ridge Tpke, Oak Ridge, TN 37830-6442 | 2015-03-30 |
| 1265837231 | Jonathan Grayson | Pharmacist | 2300 Nc-150, Oak Ridge, NC 27310-0000 | 2014-11-03 |
| 1669877205 | Johnny Letlow | Pharmacist | 534 Webb Hill Rd, Oak Ridge, LA 71264-3033 | 2014-10-24 |
| 1922351154 | Maggie Sue Edmonds | Pharmacist | 151 Dutch St, Oak Ridge, PA 16245 | 2012-10-25 |
| 1538427232 | Karen Andrews Comeford | Pharmacist | 4565 Peeples Rd, Oak Ridge, NC 27310-9763 | 2012-05-01 |
| 1720364615 | Douglas Miller | Pharmacist | 1299 Oak Ridge Turnpike, Oak Ridge, TN 37830 | 2011-10-24 |
| 1912293895 | April H Duggins | Pharmacist | 7605 N Hwy 68 N, Suite B, Oak Ridge, NC 27310 | 2011-06-20 |
| 1679867402 | Cynthia T Carter | Pharmacist | 2300 Highway 150, Oak Ridge, NC 27310 | 2011-06-09 |
| Find all providers in OAK RIDGE | ||||
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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.