Active NPI
Katherine Key Brogdon, PHARMD
- Pharmacist
- Adel, GA
National Provider Identifier
1053964692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031349
- Practice address
- 715 W 4TH St
Adel, GA 31620-2657 - Phone
- (229) 896-2300
- NPI assigned
- Jul 23, 2019
- Sex
- Female
- 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 | RPH031349 | GA | Primary |
Addresses
Primary practice location
715 W 4TH St
Adel, GA 31620-2657
Mailing address
624 Ernest Flowers Rd
Adel, GA 31620-9389
Phone (229) 873-5394
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 |
|---|---|---|---|
| RPH031349 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1053964692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 ERNEST FLOWERS RD",
"city": "ADEL",
"state": "GA",
"postal_code": "316209389",
"telephone_number": "229-873-5394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 W 4TH ST",
"city": "ADEL",
"state": "GA",
"postal_code": "316202657",
"telephone_number": "229-896-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGDON",
"first_name": "KATHERINE",
"middle_name": "KEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Adel, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.