Active NPI
Jeremiah Hall, PHARMD
- Pharmacist
- Martinez, GA
National Provider Identifier
1043171879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH035963
- Practice address
- 403 Furys Ferry Rd
Martinez, GA 30907-9038 - Phone
- (706) 650-3360
- NPI assigned
- Nov 20, 2025
- Last updated
- Nov 20, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 76310 | TX | |
| Pharmacist | 183500000X | RPH035963 | GA | Primary |
Addresses
Primary practice location
403 Furys Ferry Rd
Martinez, GA 30907-9038
Mailing address
4228 Candleberry GDN
North Augusta, SC 29860-7202
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 |
|---|---|---|---|
| RPH035963 | GA | MD | Pharmacist |
| 76310 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1043171879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 CANDLEBERRY GDN",
"city": "NORTH AUGUSTA",
"state": "SC",
"postal_code": "298607202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 FURYS FERRY RD",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309079038",
"telephone_number": "706-650-3360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JEREMIAH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-20",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "76310",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH035963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.