Active NPI
Harrison Beasley, PHARMD, RPH
- Pharmacist
- Mableton, GA
National Provider Identifier
1053916650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029364
- Practice address
- 5846 Mableton Pkwy SW
Mableton, GA 30126-3471 - Phone
- (770) 745-3171
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- 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 | RPH029364 | GA | Primary |
Addresses
Primary practice location
5846 Mableton Pkwy SW
Mableton, GA 30126-3471
Mailing address
5846 Mableton Pkwy SW
Mableton, GA 30126-3471
Phone (770) 745-3171
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029364 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1053916650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5846 MABLETON PKWY SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263471",
"telephone_number": "770-745-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5846 MABLETON PKWY SW",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263471",
"telephone_number": "770-745-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEASLEY",
"first_name": "HARRISON",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.