JUSTIN TYLER GREEN (NPI# 1225582760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225582760 |
Entity Type | Individual |
Full Name | JUSTIN TYLER GREEN |
Credential | PHARM.D |
Practice Address |
9815 Rose Commons Dr Huntersville NC 28078-3334 |
Practice Telephone | 7049484806 |
Practice Fax Number | 7044643234 |
Mailing Telephone | 7049484806 |
Mailing Fax Number | 7044643234 |
Enumeration Date | 2016-08-13 |
Last Update Date | 2017-03-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 183500000X | Pharmacist | 36767 | SC | Pharmacy Service Providers |
Y | 183500000X | Pharmacist | 26444 | NC | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174138762 | Justin Green | Doula | 1435 N Dearborn St Apt 4a, Chicago, IL 60610-1562 | 2020-09-10 |
1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
1427467141 | Justin Green | Registered Nurse | 1241 5th Ave, Stevens Point, WI 54481-1726 | 2014-08-06 |
1881613503 | Justin O Green | Counselor | #4 E Cherokee Village Mall, Cherokee Village, AR 72529 | 2006-07-19 |
1124027644 | Justin B. Green | Podiatrist | 2309 E Main St, Suite 201, New Iberia, LA 70560-4046 | 2005-07-18 |
1093312142 | Justin Taylor Green | Student in an Organized Health Care Education/Training Program | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-10-01 |
1750874210 | Justin A Green | Dentist | 1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 | 2018-06-10 |
1639525884 | Justin M Green | Family Medicine | 3950 E Robinson Rd Ste 207, W Amherst, NY 14228-2044 | 2016-05-06 |
1326431644 | Justin Green | Physician Assistant | 308 Dolphin Dr, Jacksonville, NC 28546-5266 | 2015-03-11 |
1992089312 | Justin Lee Green | Chiropractor | 1185 W County Line Rd, Greenwood, IN 46142-5156 | 2011-10-04 |
Street Address |
9815 ROSE COMMONS DR |
City | HUNTERSVILLE |
State | NC |
Zip Code | 28078-3334 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962720193 | Charity Davis White | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2010-05-12 |
1073094231 | Gina Marie Baratelle | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2018-08-27 |
1720477839 | Christina Hessler | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2015-01-13 |
1558763235 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2014-09-24 |
1730511734 | Sunny Suzanne Cook | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2013-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538787718 | John M. Bakarich, Dds, Pllc | Dentist | 15810 Northcross Drive, Suite A, Huntersville, NC 28078 | 2020-07-14 |
1316587082 | Blake Allen Klessig | Chiropractor | 8936 Northpointe Executive Park Dr, Suite 195, Huntersville, NC 28078 | 2020-01-10 |
1922644830 | Steven James Underwood | Physical Therapist | Aldersgate Ccrc, 3800 Shamrock Drive, Charlotte, NC 28078 | 2019-11-26 |
1851856306 | Jessica Runnion | Behavior Technician | 14625 Reese Blvd, Apartment 208, Huntersville, NC 28078 | 2019-02-08 |
1568935401 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 111 Commerce Centre Drive, Suite 305, Huntersville, NC 28078 | 2019-01-03 |
1932691763 | Shakira Grier | Massage Therapist | 15905 Brookway Drive, Ste 4202, Huntersville, NC 28078 | 2018-06-06 |
1457850596 | Chudney Drew | Counselor | 10224 Hickorywood Hill Ave Ste 201, Huntersville, NC 28078 | 2018-02-05 |
1215457122 | Amy Nicole Castongia | Counselor | 10511 Drake Hill Dr, Huntersville, NC 28078 | 2017-06-21 |
1457714057 | Robin D Disbro | Registered Nurse | 6216 Colonial Garden Drive, Huntersville, NC 28078 | 2016-03-31 |
1144695545 | Huntersville H&r Ops Limited Partnership | Skilled Nursing Facility | 13835 Boren Street, Huntersville, NC 28078 | 2015-12-10 |
Find all providers in zip 28078 |
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 |
---|---|---|---|---|
1356633242 | Aimee Weiner | Pharmacist | 7715 Regency Park Dr, Huntersville, NC 28078-8938 | 2011-05-10 |
1356633507 | Angela Stadler | Pharmacist | 9759 Sam Furr Rd, Huntersville, NC 28078-4915 | 2011-05-06 |
1346532553 | Jodi Lynn Judd | Pharmacist | 9925 Rose Commons Dr, Huntersville, NC 28078-3335 | 2011-05-05 |
1942509120 | Latoya Dickens | Pharmacist | 9407 Rosewood Meadow Ln, Huntersville, NC 28078-3338 | 2011-03-27 |
1962720193 | Charity Davis White | Pharmacist | 9815 Rose Commons Dr, Huntersville, NC 28078-3334 | 2010-05-12 |
1942526876 | Summer Kloster | Pharmacist | 9432 Mt Hly Hntrsvle Rd, Huntersville, NC 28078-9738 | 2010-04-16 |
1407172349 | Brian Kloster | Pharmacist | 15509 Stillwater Crossing Ln, Huntersville, NC 28078-4684 | 2010-04-16 |
1851628960 | Annie Yee Fu | Pharmacist | 103 Commerce Centre Dr Ste 101, Huntersville, NC 28078-5803 | 2009-11-10 |
1588999551 | Bryan Lee Fitzpatrick | Pharmacist | 4625 Hylas Lane, Huntersville, NC 28078 | 2009-10-08 |
1912230616 | Sara K Constantian | Pharmacist | 16711 Birkdale Cmns Pkwy, Huntersville, NC 28078-4412 | 2009-09-12 |
Find all providers in HUNTERSVILLE |
City | HUNTERSVILLE |
Zip Code | 28078 |
Please comment or provide details below to improve the information on JUSTIN TYLER 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.