Active NPI
Percy Audrey Phillips Jr., RPH
- Pharmacist
- Thomasville, GA
National Provider Identifier
1033417399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10339
- Practice address
- 301 S Broad St
Thomasville, GA 31792-5546 - Phone
- (229) 228-7658
- Fax
- (229) 228-4503
- NPI assigned
- Mar 9, 2011
- 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 | 10339 | GA | Primary |
Addresses
Primary practice location
301 S Broad St
Thomasville, GA 31792-5546
Mailing address
108 Winding Creek LN
Thomasville, GA 31757-7700
Phone (229) 226-1572
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 |
|---|---|---|---|
| 10339 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1033417399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WINDING CREEK LN",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317577700",
"telephone_number": "229-226-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 S BROAD ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925546",
"telephone_number": "229-228-7658",
"fax_number": "229-228-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "PERCY",
"middle_name": "AUDREY",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "10339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.