BRENDAN MICHAEL GREEN (NPI# 1063988061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063988061 |
| Entity Type | Individual |
| Full Name | BRENDAN MICHAEL GREEN |
| Credential | PHARMD |
| Practice Address |
13114 Fm 1960 Rd W Houston TX 77065-4290 |
| Mailing Address |
10402 Lyndon Meadows Dr Houston TX 77095-6674 |
| Practice Telephone | 7134424055 |
| Mailing Telephone | 6158286524 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 56457 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639538580 | Brendan John Green | Student in an Organized Health Care Education/Training Program | 1520 Whitehall Dr Apt 201, Davie, FL 33324-6640 | 2016-02-21 |
| 1801812714 | Brendan Rodney Green | Dentist | 2707 North 400 East, North Ogden, UT 84414 | 2006-07-14 |
| Street Address |
13114 FM 1960 RD W |
| City | HOUSTON |
| State | TX |
| Zip Code | 77065-4290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063467439 | Farah Mamedov | Pediatrics | 13114 Fm 1960 Rd W, 114, Houston, TX 77065-4290 | 2006-05-24 |
| 1568844058 | Tammy Heizelman | Pharmacist | 13114 Fm 1960 Rd W, Ste #120, Houston, TX 77065-4290 | 2015-06-22 |
| 1518362912 | Christina Sullivan | Nurse Practitioner | 13114 Fm 1960 Rd W, 114, Houston, TX 77065-4290 | 2014-10-28 |
| 1629419932 | Imperial Surgery Center LLC | Clinic/Center | 13114 Fm 1960 Rd W, Suite 118, Houston, TX 77065-4290 | 2013-07-15 |
| 1255778791 | Katherine Holzman | Family Medicine | 13114 Fm 1960 Rd W, Suite 119, Houston, TX 77065-4290 | 2013-05-23 |
| 1003158411 | Brenna Michell Muniz | Internal Medicine | 13114 Fm 1960 Rd W, Houston, TX 77065-4290 | 2013-03-24 |
| 1093057713 | Wortham Surgery Group | Clinic/Center | 13114 Fm 1960 Rd W, #118, Houston, TX 77065-4290 | 2013-03-20 |
| 1184970683 | Margaret Mcpherson | Pediatrics | 13114 Fm 1960 Rd W, Ste. 114, Houston, TX 77065-4290 | 2012-08-02 |
| 1407116437 | Pauline Scott | Dermatology | 13114 Fm 1960 Rd W, Houston, TX 77065 | 2012-05-24 |
| 1093020117 | Rosabelle Via Mcconkey | Pediatrics | 13114 Fm 1960 Rd W, #114, Houston, TX 77065-4290 | 2010-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275184913 | American Med Resources, LLC | Nursing Care | 12811 Azalea Creek Trail, Houston, TX 77065 | 2019-09-24 |
| 1619445210 | Prativa N Bhandari | Nurse Practitioner | 11307 Farm To Market, W #130, Houston, TX 77065 | 2018-11-13 |
| 1215405923 | Nyla Jacobs | Physical Therapist | 11777 Fm 1960 W, Houston, TX 77065 | 2018-11-12 |
| 1437632460 | Jose Milton Hernandez Mercado | Dentist | 12341 Fm 1960 Rd W Ste A, Houston, TX 77065 | 2018-09-14 |
| 1780164285 | Portal Cypress Dentistry & Orthodontics Pllc | Dentist | 11211 North Eldridge Pkwy, Houston, TX 77065 | 2018-08-15 |
| 1710492368 | Monica Zelaya | Counselor | 11919 Leaf Oak Dr, Houston, TX 77065 | 2017-12-05 |
| 1619494077 | Tam-anh Nguyen | Specialist/Technologist | 9827 Chiselhurst Dr., Houston, TX 77065 | 2017-08-26 |
| 1881110211 | Veronica Arceneaux | Home Health Aide | 12436 F M 1960 West, #191, Houston, TX 77065 | 2017-08-17 |
| 1528590288 | Cini John | Nurse Practitioner | 11810 Fm1960 W., Hc Medical Doctors, Pa, Houston, TX 77065 | 2017-03-31 |
| 1205282480 | Christine Pham | Technician, Cardiology | 11240 Fm 1960 West, St 406 - A, Houston, TX 77065 | 2016-05-06 |
| Find all providers in zip 77065 | ||||
| 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 |
|---|---|---|---|---|
| 1033710967 | Paul V Crawford | Pharmacist | 13 Thornhill Oaks Dr, Houston, TX 77015-2059 | 2020-11-06 |
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1407457922 | Tam Minh Ha | Pharmacist | 2700 S Kirkwood, Houston, TX 77077 | 2020-11-02 |
| 1134729866 | Bilquis Omolola Otulana | Pharmacist | 13619 Teal Bluff Ln, Houston, TX 77077-1307 | 2020-10-30 |
| 1295335750 | Eskedar Dickie | Pharmacist | 3450 Cypress Creek Pkwy, Houston, TX 77068-3606 | 2020-10-26 |
| 1811596414 | Yuehhsun Lu | Pharmacist | 6918 Corporate Dr Ste B5, Houston, TX 77036-5140 | 2020-10-23 |
| 1770181596 | Charles Ihonre Aigberadion | Pharmacist | 13211 Jones Rd, Houston, TX 77070-4439 | 2020-10-14 |
| 1710585948 | June Wang | Pharmacist | 9180 Bellaire Blvd Ste A, Houston, TX 77036-4600 | 2020-10-09 |
| 1659978963 | Good Shepherd Pharmacy LLC | Pharmacist | 8303 Southwest Fwy Ste 825, Houston, TX 77074-1641 | 2020-10-08 |
| 1134726789 | Haroon Waseem | Pharmacist | 17218 Trace Glen Ln, Houston, TX 77083-7392 | 2020-10-07 |
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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.