Connie Smith Brown, RPH
Individual provider Active NPI Pharmacist · Cedartown, GA
NPI 1023316262 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1023316262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 13250 (GA)
- Practice address
- 633 N Main St
Cedartown, GA 30125-2359 - Phone
- (770) 838-1860
- NPI assigned
- Mar 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13250 | GA | Yes |
Addresses
Primary practice location
633 N Main St
Cedartown, GA 30125-2359
Mailing address
PO Box 373
Tallapoosa, GA 30176-0373
Phone (770) 574-3238
Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. 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.