JEFFRY LEE GREEN RPH
NPI 1083390652
Pharmacist in Morgantown, WV

Active since June 27, 2023
4690 SHADYSIDE LN, MORGANTOWN, WV 26508(704) 677-0693 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffry Lee Green Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFRY LEE GREEN RPH (NPI 1083390652) is an individual pharmacist in Morgantown, West Virginia, licensed in North Carolina (12436) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1083390652
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJEFFRY LEE GREENCredential: RPH
Location Address4690 SHADYSIDE LNMorgantown, WV 26508-4400
Mailing Address5400 Rock Chalk Dr Apt 23308Lawrence, KS 66049-5168 · (704) 677-0693
Sole ProprietorNo
Enumeration DateJune 27, 2023
NPPES CertifiedJune 27, 2023
NPI 1083390652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NC · 12436
Definition
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.
4690 SHADYSIDE LN, Morgantown, WV 26508

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffry Green's NPI number?

The NPI number for Jeffry Green is 1083390652. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Jeffry Green located?

Jeffry Green practices at 4690 Shadyside Ln, Morgantown, WV 26508. The listed phone number is (704) 677-0693.

What is Jeffry Green's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jeffry Green was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.