Active NPI
Brandon Jump
- Pharmacist
- Augusta, GA
National Provider Identifier
1063013688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025408
- Practice address
- 260 Bobby Jones Expy
Augusta, GA 30907-2433 - Phone
- (706) 860-0699
- Fax
- (706) 860-1231
- NPI assigned
- Nov 2, 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 | RPH025408 | GA | Primary |
Addresses
Primary practice location
260 Bobby Jones Expy
Augusta, GA 30907-2433
Mailing address
500 Canon CT
Evans, GA 30809-6366
Phone (706) 814-2420
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025408 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604275200000",
"number": "1063013688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CANON CT",
"city": "EVANS",
"state": "GA",
"postal_code": "308096366",
"telephone_number": "706-814-2420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 BOBBY JONES EXPY",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072433",
"telephone_number": "706-860-0699",
"fax_number": "706-860-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUMP",
"first_name": "BRANDON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-02",
"last_updated": "2020-11-02",
"certification_date": "2020-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.