DR. TARA RAE GREEN (NPI# 1194906875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194906875 |
Entity Type | Individual |
Full Name | DR. TARA RAE GREEN |
Credential | PHARM.D. |
Practice Address |
4635 1st Ave Evansville IN 47710-3625 |
Practice Telephone | 8124630511 |
Practice Fax Number | 8124630516 |
Mailing Telephone | 8124630511 |
Mailing Fax Number | 8124630516 |
Enumeration Date | 2007-11-21 |
Last Update Date | 2008-09-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 26020820A | IN | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184225344 | Tara Renee Green | Pharmacist | 7400 Guilford Dr, Frederick, MD 21704-5183 | 2020-11-04 |
1598272866 | Tara Leann Green | Nurse Practitioner | 613 N 2nd St, Rogers, AR 72756-6611 | 2018-01-08 |
1346610110 | Tara Green | Speech-Language Pathologist | 1140 Savannah Ridge Rd, Suite 111, Holly Springs, NC 27540-0535 | 2015-10-05 |
1114288438 | Tara L Green | Dentist | 4330 Maynardville Hwy, Maynardville, TN 37807-3618 | 2012-06-04 |
1316218803 | Tara L Green | Case Manager/Care Coordinator | 701 Arkansas Blvd, Texarkana, AR 71854-2105 | 2012-01-16 |
1720366602 | Tara Jo Green | Chiropractor | 400 Broadway St, Galena, IL 61036-1902 | 2011-07-26 |
1265728265 | Tara Elizabeth Green | Social Worker | 1303 W Noel Ave, Madisonville, KY 42431-1166 | 2011-06-28 |
1942536487 | Tara Green | Counselor | 1600 N D St, Mcalester, OK 74501-2314 | 2009-10-18 |
1366631699 | Tara Lea Green | Physical Therapy Assistant | 1485 International Pkwy, 2051, Heathrow, FL 32746-5303 | 2007-10-23 |
1831304658 | Tara Green | General Acute Care Hospital | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2007-05-14 |
Street Address |
4635 1ST AVE |
City | EVANSVILLE |
State | IN |
Zip Code | 47710-3625 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891838082 | Norma T Schultz | Pharmacist | 4635 1st Ave, Evansville, IN 47710-3625 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
Find all providers in zip 47710 |
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 |
---|---|---|---|---|
1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
1508497611 | Jeremy Lewis Mann | Pharmacist | 1150 S Green River Rd, Evansville, IN 47715-6804 | 2020-01-28 |
1366092678 | Traci Fritschle | Pharmacist | 520 Mary St Ste 330, Evansville, IN 47710-1679 | 2019-09-18 |
1831560416 | Anna Terese Cochrane | Pharmacist | 1201 Cross Pointe Pl, Evansville, IN 47715-9168 | 2015-10-08 |
1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
1386908069 | Donald Walz | Pharmacist | 8009 Old Orchard Trl, Evansville, IN 47712-7328 | 2012-06-27 |
1770852204 | Tom William Seto | Pharmacist | 8515 Talbot Dr, Evansville, IN 47725-7503 | 2011-12-29 |
1346524006 | Cheryl Ann Blanford | Pharmacist | 2015 E Covert Ave, Evansville, IN 47714 | 2011-09-29 |
1649553728 | Kimberly Hill | Pharmacist | 3323 N Green River Rd, Evansville, IN 47715-1351 | 2011-09-24 |
1821371071 | Elizabeth D Parker | Pharmacist | 4301 N 1st Ave, Evansville, IN 47710-3619 | 2011-09-23 |
Find all providers in EVANSVILLE |
City | EVANSVILLE |
Zip Code | 47710 |
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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.