Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124228283 Individual Practitioner Male Practitioner

David Taggart Green , DPH

Pharmacist • Mandeville, LA

Professional Overview & Biography Verified Profile Summary

David Green, DPH is a registered healthcare professional specializing in Pharmacist in Mandeville, LA. Practice services are available at 2880 HIGHWAY 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2880 Highway 190

Mandeville, LA 704713254

Telephone 9856248548
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1598770752

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Mandeville, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
72 Specialists

Practicing in Mandeville, LA (4767 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-20
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License LA PST.014380

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License LA 14380

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1894656 (LA)

Secondary Practice Locations

253 Devon Dr

Mandeville, LA 704483407

Phone: 9857786389

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
NPI 1235444332
NPI 1356047070

Doctor of Pharmacy (Pharm.D.)

Cynthia Harper

Pharmacist

NPI 1467767640
NPI 1518267475

Doctor of Pharmacy (Pharm.D.)

Omar Hamide

Pharmacist

NPI 1568778207
NPI 1578939179

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address December 20, 2022

Registered at 2880 HIGHWAY 190, MANDEVILLE, LA 704713254 (Tel: 9856248548)

📍
Updated Practice Location April 28, 2021

Registered at 2880 HIGHWAY 190, MANDEVILLE, LA 704713254 (Tel: 9856248548)

👤
Provider Name / Credentials Updated April 28, 2021

Recorded as DAVID GREEN, DPH

NPI Profile Active June 03, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2015

Registered at 217 SUPERIOR AVE, BOGALUSA, LA 704272622 (Tel: 9857356434)

📍
Updated Business Mailing Address June 03, 2015

Registered at 253 DEVON DR, MANDEVILLE, LA 704483407 (Tel: 9857356434)

👤
Provider Name / Credentials Updated June 03, 2015

Recorded as DAVID GREEN, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2015

Pharmacist (License #14380 in LA)

🟢
Initial NPI Registration & Enumeration July 18, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1124228283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2007
Last Update: December 20, 2022
Sole Proprietor: No

Mailing Address

2880 Highway 190

Mandeville, LA 704713254

Phone: 9856248548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.