Active NPI
Jacqueline C Hyatt, PHARM D
- Pharmacist
- Douglasville, GA
National Provider Identifier
1033417662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH023379
- Practice address
- 3687 Highway 5
Douglasville, GA 30135-2385 - Phone
- (770) 577-8979
- NPI assigned
- Mar 7, 2011
- Last updated
- Mar 7, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH023379 | GA | Primary |
Addresses
Primary practice location
3687 Highway 5
Douglasville, GA 30135-2385
Mailing address
116 Morning View Dr
Temple, GA 30179-5373
Phone (404) 434-7077
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 |
|---|---|---|---|
| RPH023379 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299456000000",
"number": "1033417662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 MORNING VIEW DR",
"city": "TEMPLE",
"state": "GA",
"postal_code": "301795373",
"telephone_number": "404-434-7077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3687 HIGHWAY 5",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301352385",
"telephone_number": "770-577-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "JACQUELINE",
"middle_name": "C",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-07",
"last_updated": "2011-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH023379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.