HOLLY GREEN (NPI# 1205480332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205480332 |
| Entity Type | Individual |
| Full Name | HOLLY GREEN |
| Credential | PHARMD |
| Practice Address |
Us Hwy 491 N Shiprock NM 87420 |
| Mailing Address |
400 Nelson Ave Apt 3105 Farmington NM 87401-3355 |
| Practice Telephone | 5053686001 |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 4025 | WY | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 991 N Willis St, Abilene, TX 796034620 | 9702319542 | |
| 7th Medical Group, 697 Louisiana Dr, Dyess Afb, TX 79607 | 3256963287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548644693 | Holly Green | Nursing Home Administrator | 3688 Sand Creek Rd, Farmington, MO 63640-7350 | 2015-07-17 |
| 1215334768 | Holly Marie Green | Pharmacist | 2811 S Filmore St, Salt Lake City, UT 84106-3546 | 2014-11-28 |
| 1073750808 | Holly M Green | Acupuncturist | 5086 Adams Rd., Delray Beach, FL 33484 | 2009-01-15 |
| 1144306556 | Holly L Green | Family Medicine | 39 S. Chester Pike, Glenolden, PA 19026-1830 | 2006-10-27 |
| 1750873154 | Holly Green | Physician Assistant | 4801 Integris Pkwy, Edmond, OK 73034-8864 | 2018-05-31 |
| 1881025443 | Holly Green | Behavioral Analyst | 4445 Corporation Ln, Suite 264, Virginia Beach, VA 23462-3262 | 2013-12-09 |
| 1184985616 | Holly Green | Clinical Nurse Specialist | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2012-05-31 |
| 1205000718 | Holly Jane Green | Nurse Practitioner | 6401 Auburn Dr, Virginia Beach, VA 23464-3601 | 2008-04-15 |
| 1710072251 | Holly Green | Physician Assistant | 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 | 2006-10-03 |
| 1578575189 | Holly Anne Green | Dentist | 600 Ridgely Ave, Ste 225, Annapolis, MD 21401-1089 | 2006-08-12 |
| Street Address |
US HWY 491 N |
| City | SHIPROCK |
| State | NM |
| Zip Code | 87420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106414 | Sharon Lynn Bydonie | Dental Hygienist | Us Hwy 491 N, Shiprock, NM 87420 | 2005-09-30 |
| 1871037598 | Theresa A Pablo | Social Worker | Us Hwy 491 N, Shiprock, NM 87420 | 2016-12-14 |
| 1881063568 | Refina Willie | Social Worker | Us Hwy 491 N, Shiprock, NM 87420 | 2015-09-23 |
| 1982090601 | Ethelinda W Benally | Registered Nurse | Us Hwy 491 N, Northern Navajo Medical Center, Shiprock, NM 87420 | 2015-04-09 |
| 1821256900 | Lawanda T Jim | Internal Medicine | Us Hwy 491 N, Shiprock, NM 87420 | 2008-05-27 |
| 1881796761 | Margaret E Thoma | Emergency Medicine | Us Hwy 491 N, Shiprock, NM 87420 | 2006-09-02 |
| 1245289370 | Orlando J Pioche | Counselor | Us Hwy 491 N, Shiprock, NM 87420 | 2006-05-08 |
| 1245290246 | Raymundo Torres | Emergency Medicine | Us Hwy 491 N, Shiprock, NM 87420 | 2006-03-24 |
| 1578530143 | Jeffrey A Gall | Emergency Medicine | Us Hwy 491 N, Shiprock, NM 87420 | 2006-03-02 |
| 1225001050 | Denyse B Herrmann | Physical Therapist | Us Hwy 491 N, Shiprock, NM 87420 | 2006-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003424383 | Ciara Hansen | Psychologist | Us- 491, Shiprock, NM 87420 | 2020-07-22 |
| 1013540848 | Kelsi Marie Hartwig | Dental Hygienist | Highway 491 North, Yucca Street, Shiprock, NM 87420 | 2020-02-20 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1811533979 | Merissa Jo De La Garza | Pharmacist | Highway 491 S, Shiprock, NM 87420 | 2019-11-25 |
| 1619528510 | Heather Scott | Psychologist | Highway 64, Old High School Road, Shiprock, NM 87420 | 2019-09-23 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1275011488 | Dawn Fowler | Registered Nurse | Us Highway 64, Shiprock, NM 87420 | 2018-07-31 |
| 1902384373 | Brittany Jones | Occupational Therapy Assistant | Us 64, Old High School Rd., Shiprock, NM 87420 | 2018-07-30 |
| 1528561701 | Patricia D Suarez | Registered Nurse | Central Consolidated School of New Mexico, Hwy 64, Old High School Road, Shiprock, NM 87420 | 2018-03-14 |
| 1023549284 | Ellen Liversidge | Speech-Language Pathologist | Hwy 64, Old High School Rd., Shiprock, NM 87420 | 2017-03-21 |
| Find all providers in zip 87420 | ||||
| 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 |
|---|---|---|---|---|
| 1245838689 | Jett Nymann Delacruz Paraoan | Pharmacist | Us-491, Shiprock, NM 87420-8742 | 2020-10-16 |
| 1235779372 | Leeanne Mobayed | Pharmacist | Us-491 North, Shiprock, NM 87420-8742 | 2020-01-07 |
| 1194364232 | Maria Sturtz | Pharmacist | Us Why 491 North, Shiprock, NM 87420 | 2020-01-06 |
| 1396305264 | Malaura Creager | Pharmacist | North Hwy 491, Shiprock, NM 87420 | 2019-06-13 |
| 1144611880 | Roseline Boateng | Pharmacist | Hwy 641 North, Shiprock, NM 87420 | 2015-02-17 |
| 1992139497 | Michael Dennis Webster | Pharmacist | Us 491 N, Shiprock, NM 87420 | 2013-09-03 |
| 1295176105 | Lauren Elizabeth Davis | Pharmacist | N. Highway 491, Shiprock, NM 87420-0160 | 2013-07-09 |
| 1013224237 | Joshua Bacon | Pharmacist | Highway 666 North, Medical Center Complex, Shiprock, NM 87420 | 2010-09-09 |
| 1053628453 | Linnea Diane Thompson | Pharmacist | Hwy 491, Northern Navajo Medical Center Attn Pharmacy Department, Shiprock, NM 87420 | 2010-09-07 |
| 1992011779 | Yolanda K Brown | Pharmacist | Route 491 North, Shiprock, NM 87420 | 2010-08-31 |
| Find all providers in SHIPROCK | ||||
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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.