Active NPI
Terrence Dale Eyring, RPH
- Pharmacist
- Norcross, GA
National Provider Identifier
1003802000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022387
- Practice address
- 1626 Jeurgens CT Ste a
Norcross, GA 30093-2219 - Phone
- (678) 533-6458
- NPI assigned
- Sep 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022387 | GA | Primary |
Addresses
Primary practice location
1626 Jeurgens CT Ste a
Norcross, GA 30093-2219
Mailing address
2031 Calvin CT
Duluth, GA 30097-5112
Phone (770) 123-4567
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH022387 | Other | GA | PHARMACIST LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022387 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1003802000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2031 CALVIN CT",
"city": "DULUTH",
"state": "GA",
"postal_code": "300975112",
"telephone_number": "770-123-4567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 JEURGENS CT STE A",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932219",
"telephone_number": "678-533-6458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EYRING",
"first_name": "TERRENCE",
"middle_name": "DALE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-25",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "RPH022387",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.