THOM L GREEN (NPI# 1982976601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982976601 |
| Entity Type | Individual |
| Full Name | THOM L GREEN |
| Credential | RPH |
| Practice Address |
13501 Park Vista Blvd Suite 150 Fort Worth TX 76177-3203 |
| Practice Telephone | 8178378622 |
| Practice Fax Number | 8664232979 |
| Mailing Telephone | 8178378622 |
| Mailing Fax Number | 8664232979 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
24473 | TX | Pharmacy Service Providers |
| Street Address |
13501 PARK VISTA BLVD SUITE 150 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76177-3203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437467271 | John S Helfrich | Pharmacist | 13501 Park Vista Blvd, Suite 150, Fort Worth, TX 76177-3203 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225685449 | Cody Brown Dds Pllc | Dentist | 2701 W Heritage Trace Pkwy, Ste 130, Fort Worth, TX 76177 | 2019-08-22 |
| 1144782889 | Daniel Max & Marcandrea LLC | Optometrist | 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 | 2019-04-02 |
| 1194296202 | Fresenius Medical Care Keller, LLC | Clinic/Center | 3700 N Tarrant Pkwy, Fort Worth, TX 76177 | 2018-12-16 |
| 1861961310 | Daniel Max & Marcandrea, LLC | Optometrist | 3524 Highway 114, Suite 300, Forth Worth, TX 76177 | 2018-11-14 |
| 1447732896 | Alexis Etienne Ingleton | Assisted Living Facility | 15840 Badger Creek Lm, Fort Worth, TX 76177 | 2018-09-02 |
| 1023526365 | J&l Dental Group, Pllc | Clinic/Center | 2401 Heritage Trace Parkway, Suite 121, Fort Worth, TX 76177 | 2018-01-22 |
| 1689115438 | Hayley Blackwood | Psychologist | 15833 Bent Rose Way, Fort Worth, TX 76177 | 2017-03-13 |
| 1013463256 | Elianne Griselle Alarcon | Dentist | 8917 N. Freeway, Suite 117, Fort Worth, TX 76177 | 2016-08-28 |
| 1962877373 | Home Town Dental Alliance | Dentist | 8901 Tehama, Suite 119, Forth Worth, TX 76177 | 2015-12-10 |
| 1003280686 | Susan Akberzie | Nurse Practitioner | 3400 Texas Sage Trl Ste 148, Fort Worth, TX 76177 | 2015-11-19 |
| Find all providers in zip 76177 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568898849 | Vicky Beth Lewis | Pharmacist | 6100 Harris Pkwy, Fort Worth, TX 76132-4101 | 2013-09-19 |
| 1255401543 | Joe D Crowley | Pharmacist | 1001 12th Ave, Suite 200, Fort Worth, TX 76104-3915 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760016901 | Jocelyn Joseph | Pharmacist | 1515 Holcombe Blvd # Y2.5610, Houston, TX 77030-4000 | 2020-02-26 |
| 1295369643 | Alexandra Lovell | Pharmacist | 1515 Holcombe Blvd Ofc B6.4606, Houston, TX 77030-4000 | 2020-02-25 |
| 1063046571 | Michael Frei | Pharmacist | 1515 Holcombe Blvd Ofc Y2.5610, Houston, TX 77030-4000 | 2020-02-24 |
| 1336772946 | Caitlin Rausch | Pharmacist | 1515 Holcombe Blvd # B6.4606, Houston, TX 77030-4000 | 2020-02-21 |
| 1255813465 | Amelia Matherly Chancellor | Pharmacist | 4383 Medical Dr Ste 2051, San Antonio, TX 78229-3307 | 2018-09-04 |
| 1760907927 | Robert Alan Nunan | Pharmacist | 7777 Forest Ln Ste C707, Dallas, TX 75230-6861 | 2017-08-09 |
| 1689966269 | Frank Joesph Klementich | Pharmacist | 4218 Castle Dr, Santa Fe, TX 77510-6603 | 2011-05-13 |
| 1740479419 | Michael Strother Oholendt | Pharmacist | 6565 Fannin St # Db1-09, Houston, TX 77030-2703 | 2007-10-18 |
| 1033319082 | Sarah Margaret Gressett | Pharmacist | 4500 S Lancaster Rd # R119b, Dallas, TX 75216-7167 | 2007-07-18 |
| 1013129550 | Stacie A Bean | Pharmacist | 1515 Holcombe Blvd. Box 377, Department of Pharmacy, Houston, TX 77030 | 2007-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76177 |
Please comment or provide details below to improve the information on THOM L 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.