DR. GWENDOLYN GREEN (NPI# 1255751954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255751954 |
| Entity Type | Individual |
| Full Name | DR. GWENDOLYN GREEN |
| Credential | PHARM D., RPH |
| Practice Address |
610 Uptown Blvd Cedar Hill TX 75104-3527 |
| Practice Telephone | 4693376402 |
| Mailing Telephone | 4693376402 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 43907 | TX | Pharmacy Service Providers |
| N | 1835N1003X |
Pharmacist Specialization: Nutrition Support |
43907 | TX | Pharmacy Service Providers |
| N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
43907 | TX | Pharmacy Service Providers |
| N | 1835P1300X |
Pharmacist Specialization: Psychiatric |
43907 | TX | Pharmacy Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
43907 | TX | Pharmacy Service Providers |
| N | 1835G0303X |
Pharmacist Specialization: Geriatric |
43907 | TX | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922020916 | Gwendolyn Green | Social Worker | 3131 Arndt St, Detroit, MI 48207-3247 | 2006-07-25 |
| 1588060651 | Gwendolyn Green | Counselor | 5109 N Nebraska Ave, Tampa, FL 33603-2301 | 2014-11-17 |
| Street Address |
610 UPTOWN BLVD |
| City | CEDAR HILL |
| State | TX |
| Zip Code | 75104-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477684082 | Darlene L. Warner | Speech-Language Pathologist | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2007-03-07 |
| 1831559947 | Patricia Tamayo | Counselor | 610 Uptown Blvd, Cedar Hill, TX 75104-3527 | 2016-03-02 |
| 1023488277 | Kay Elizabeth Bruner | Counselor | 610 Uptown Blvd, 2nd Floor, Cedar Hill, TX 75104-3527 | 2015-09-30 |
| 1851760318 | Ytb Enterprise | Home Health | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2015-09-15 |
| 1891188165 | Tee Pee Counseling | Counselor | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2015-03-11 |
| 1013329184 | Health Diversity LLC | Pharmacist | 610 Uptown Blvd, Cedar Hill, TX 75104-3527 | 2014-05-23 |
| 1104196617 | Hope Advancement of Texas, Inc | Counselor | 610 Uptown Blvd, 2000, Cedar Hill, TX 75104-3527 | 2012-01-01 |
| 1801198197 | A Speech Connection | Speech-Language Pathologist | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2010-11-19 |
| 1508173923 | Pcdi Healthcare and Consultants of Texas | Hospice Care, Community Based | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2010-09-07 |
| 1326355744 | Pcdi Healthcare and Consultants of Texas | Hospice Care, Community Based | 610 Uptown Blvd, Suite 2000, Cedar Hill, TX 75104-3527 | 2010-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647613 | Maurice Leung | Optometrist | 305 W. Fm1382 Bldg 500, Suite 500, Cedar Hill, TX 75104 | 2020-07-30 |
| 1073156055 | Collier Family Dnetistry Pllc | Dentist | 918 E Pleasant Run Rd, Ste 120, Cedar Hill, TX 75104 | 2019-10-23 |
| 1760038061 | Shawn Brandon Fitzpatrick | Optometrist | 500, 305 E Farm To Market Rd., 1382 #500, Cedar Hill, TX 75104 | 2019-08-13 |
| 1487120093 | Daniel Max & Marcandrea, LLC | Optometrist | 401 J Elmer Weaver Fwy, Cedar Hill, TX 75104 | 2018-10-22 |
| 1386153567 | Professional Np Cares Inc | Family Medicine | 1438 Oxbow Dr., Cedar Hill, TX 75104 | 2017-09-20 |
| 1295273688 | Ikids Pediatric Dentistry Cedar Hill, Pllc | Dentist | 520 W. Fm 1382, Cedar Hill, TX 75104 | 2017-02-06 |
| 1598178568 | Meredith Lee Orseth | Dermatology | 610 Uptown Blvd Ste 102, Cedar Hill, TX 75104 | 2014-06-08 |
| 1295160943 | Cedar Hill Medical Center LLC | Clinic/Center | 850 Hwy 67 N, Cedar Hill, TX 75104 | 2013-09-12 |
| 1447699202 | Tammy Audrenia Clay | Registered Nurse | 1336 Boyd Street, Cedar Hill, TX 75104 | 2013-06-14 |
| 1205172020 | Felistar Ogechi Awhen | Licensed Vocational Nurse | 1277 Cedarhill, Cedarhill, TX 75104 | 2012-12-26 |
| Find all providers in zip 75104 | ||||
| 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 |
|---|---|---|---|---|
| 1104427848 | Isaiah Obioha | Pharmacist | 911 Nikki Dr, Cedar Hill, TX 75104-7355 | 2020-11-06 |
| 1023659836 | Christopher Lloyd | Pharmacist | 613 Uptown Blvd Ste 105, Cedar Hill, TX 75104-3512 | 2019-10-02 |
| 1144576562 | Maria Ngeyem Njonkem | Pharmacist | 1000 E Pleasant Run Rd Apt 2717, Cedar Hill, TX 75104-5564 | 2012-08-03 |
| 1245528306 | Angela Ann Walsh | Pharmacist | 709 North Highway 67, T-1836, Cedar Hill, TX 75104-2142 | 2011-07-11 |
| 1942800552 | Keith Leverette | Pharmacist | 820 E Belt Line Rd, Cedar Hill, TX 75104-2215 | 2020-11-01 |
| 1750981015 | Huy Nguyen | Pharmacist | 621 Uptown Blvd, Cedar Hill, TX 75104-3508 | 2020-10-27 |
| 1922611763 | Tyrrell Dashawn Moore | Pharmacist | 501 E Belt Line Rd, Cedar Hill, TX 75104-2210 | 2020-08-30 |
| 1629680947 | Jon Malveaux | Pharmacist | 235 E Fm 1382, Cedar Hill, TX 75104-2146 | 2020-08-18 |
| 1033742663 | Cecil Leon Nash | Pharmacist | 235 E Fm 1382, Cedar Hill, TX 75104-2147 | 2020-02-21 |
| 1417318767 | Matthew Campbell | Pharmacist | 427 E Fm 1382, Cedar Hill, TX 75104-6006 | 2016-03-15 |
| Find all providers in CEDAR HILL | ||||
| City | CEDAR HILL |
| Zip Code | 75104 |
Please comment or provide details below to improve the information on DR. GWENDOLYN 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.