Active NPI
Jeremy Brandon Renfroe, PHARM.D.
- Pharmacist
- Savannah, GA
National Provider Identifier
1003241621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36900
- Practice address
- 6206 Walden Park Dr
Savannah, GA 31410-4907 - Phone
- (731) 614-0259
- NPI assigned
- Sep 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36900 | TN | Primary |
| Pharmacist | 183500000X | RPH026902 | GA |
Addresses
Primary practice location
6206 Walden Park Dr
Savannah, GA 31410-4907
Mailing address
6206 Walden Park Dr
Savannah, GA 31410-4907
Phone (731) 614-0259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH026902 | GA | MD | Pharmacist |
| 36900 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379030400000",
"number": "1003241621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6206 WALDEN PARK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314104907",
"telephone_number": "731-614-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6206 WALDEN PARK DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314104907",
"telephone_number": "731-614-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENFROE",
"first_name": "JEREMY",
"middle_name": "BRANDON",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-13",
"last_updated": "2013-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "36900",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026902",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.