Individual provider Active NPI

Elizabeth Buckley Hall, BS PHARM

  • Pharmacist
  • Alpharetta, GA
National Provider Identifier
1053619197
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019910 Issued in GA
Practice address
11855 Jones Bridge Rd
Alpharetta, GA 30005-5042
Phone
(770) 521-1292
Fax
(770) 521-9024
NPI assigned
Mar 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019910 GA Primary

Addresses

Primary practice location

11855 Jones Bridge Rd
Alpharetta, GA 30005-5042

Mailing address

315 Hope Dr
Suwanee, GA 30024-1415
Phone (770) 307-8200

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
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
019910GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1299974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1053619197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOPE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241415",
            "telephone_number": "770-307-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11855 JONES BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300055042",
            "telephone_number": "770-521-1292",
            "fax_number": "770-521-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "ELIZABETH",
        "middle_name": "BUCKLEY",
        "credential": "BS PHARM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-13",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.