Brenda Suzanne Sharp, RPH
Individual provider Active NPI Pharmacist · Garden City, GA
NPI 1013290220 · NPPES record last updated Sep 23, 2011
Key facts
- NPI
- 1013290220
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH021524 (GA)
- Practice address
- 4210 Augusta Rd
Garden City, GA 31408-2106 - Phone
- (912) 964-4311
- Fax
- (912) 964-4358
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCT.0008366 | CT | MD | Pharmacist |
| RPH021524 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021524 | GA | Yes |
| Pharmacist | 183500000X | PCT.0008366 | CT |
Addresses
Primary practice location
4210 Augusta Rd
Garden City, GA 31408-2106
Mailing address
4210 Augusta Rd
Garden City, GA 31408-2106
Phone (912) 964-4311
Other providers in Garden City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.