DR. RONALD SHANE GREENE (NPI# 1245332030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245332030 |
| Entity Type | Individual |
| Full Name | DR. RONALD SHANE GREENE |
| Credential | PHARMD, BCPS |
| Practice Address |
900 Jerome St Ste 400 Fort Worth TX 76104-3942 |
| Mailing Address |
1714 Mcgarry Ln Mansfield TX 76063-7926 |
| Practice Telephone | 8177326060 |
| Practice Fax Number | 8177312541 |
| Mailing Telephone | 8174375539 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2014-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
38587 | TX | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
38587 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306407523 | Ronald Greene | Counselor | 1015 E 6th Ave, Anchorage, AK 99501-2748 | 2019-06-27 |
| 1427366277 | Ronald K Greene | Case Manager/Care Coordinator | 11059 E Bethany Dr, Suite 200, Aurora, CO 80014-2622 | 2010-09-15 |
| 1861678542 | Ronald Timothy Greene | Orthopaedic Surgery | 6 Greenwich Office Park, Greenwich, CT 06831-5151 | 2008-01-13 |
| 1417175332 | Ronald J Greene | Dentist | 1237 N Monroe Dr, 101, Xenia, OH 45385-6609 | 2007-04-23 |
| 1366577165 | Ronald K. Greene | Counselor | 10151 York Rd, Cockeysville, MD 21030-3314 | 2007-02-22 |
| 1487791349 | Ronald T Greene | Nurse Anesthetist, Certified Registered | 1235 E Cherokee St, Springfield, MO 65804-2203 | 2007-01-31 |
| 1518066265 | Ronald J Greene | Dentist | 500 S Sepulveda Blvd, Suite 206, Manhattan Beach, CA 90266-6948 | 2006-09-21 |
| 1194708958 | Ronald T. Greene | Psychiatry & Neurology | 26 Queen St, Worcester, MA 01610-2473 | 2005-11-25 |
| Street Address |
900 JEROME ST STE 400 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376548305 | Harold Malofsky | Podiatrist | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2005-06-16 |
| 1184261091 | Katherine Leona Rushing | Physician Assistant | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2019-12-10 |
| 1285926063 | Glorianna Iloff | Physician Assistant | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2011-05-11 |
| 1912099755 | Sue H Tripp | Nurse Practitioner | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2006-09-29 |
| 1740261114 | Stuart Charles Pickell | Internal Medicine | 900 Jerome St Ste 400, Fort Worth, TX 76104-3942 | 2005-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740630565 | Dustin Russell Horne | Pharmacist | 2901 Bledsoe St Apt 1342, Fort Worth, TX 76107-2677 | 2016-06-13 |
| 1831373679 | Caroline Elad Tabe | Pharmacist | 5412 Meadow Valley Dr, Fort Worth, TX 76123-2841 | 2007-12-27 |
| 1659404796 | Angela St.clair Pinckard | Pharmacist | 6601 Harris Pkwy, Baylor Institute for Rehabilitation At Fort Worth, Fort Worth, TX 76132-6108 | 2007-03-14 |
| 1831290832 | Angela K. Treadway | Pharmacist | 900 Jerome St Ste 401, Fort Worth, TX 76104-3942 | 2006-09-25 |
| 1821072414 | Jennifer Elice Ortega | Pharmacist | 600 W Rosedale St, Fort Worth, TX 76104-4621 | 2005-12-06 |
| 1811461494 | Patrick Gerard Clay | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2019-01-16 |
| 1629553813 | Lisa Jane Killam-worrall | Pharmacist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2018-10-03 |
| 1073952750 | Sarah Justine Payne | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2013-06-17 |
| 1023141140 | Lucas Cade Colson | Pharmacist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151193 | Lori Jean Krustchinsky | Pharmacist | 1220 Hobbs Reach Ln, Houston, TX 77008-6464 | 2020-07-07 |
| 1699390609 | Vincent Wong | Pharmacist | 13501 Hymeadow Cir, Austin, TX 78729-1763 | 2020-06-15 |
| 1750917282 | Ayeshia Duru | Pharmacist | 1321 Canterbury Dr, Allen, TX 75013-7067 | 2020-03-16 |
| 1639703416 | Uchenna Comfort Orji | Pharmacist | 8803 Noah Lndg, Houston, TX 77064-4392 | 2020-03-02 |
| 1316577695 | Osita Stephen Okafor Jr. | Pharmacist | 8440 N Sam Houston Pkwy E Apt 832, Humble, TX 77396-2971 | 2020-01-25 |
| 1023658093 | Islam Abdelhamid | Pharmacist | 1911 Holcombe Blvd Apt 1728, Houston, TX 77030-4192 | 2020-01-08 |
| 1851934640 | Karen Ugwu | Pharmacist | 1212 Corporate Dr, Irving, TX 75038-2502 | 2019-10-24 |
| 1588136675 | Jose Martin Penaloza | Pharmacist | 12002 Barrycliff Ct, Houston, TX 77070-5447 | 2018-12-30 |
| 1790252054 | Jenna Lynne Snoga | Pharmacist | 7400 Merton Minter San Antonio, San Antonio, TX 78229 | 2018-10-25 |
| 1679048151 | Richard William Molinaro Jr. | Pharmacist | 708 Tall Pines Dr, Friendswood, TX 77546-4456 | 2018-10-10 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on DR. RONALD SHANE GREENE.
| 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.