Active NPI
Bonnie Adams Watkins, RPH
- Pharmacist
- Lagrange, GA
National Provider Identifier
1063025559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016793
- Practice address
- 115 Vernon St
Lagrange, GA 30240-3109 - Phone
- (706) 812-9852
- Fax
- (706) 812-9937
- NPI assigned
- Aug 25, 2020
- 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 | 016793 | GA | Primary |
Addresses
Primary practice location
115 Vernon St
Lagrange, GA 30240-3109
Mailing address
115 Vernon St
Lagrange, GA 30240-3109
Phone (706) 812-9852
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016793 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
115 Vernon St
Lagrange, GA 30240
Phone (706) 812-9852
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1063025559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 VERNON ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302403109",
"telephone_number": "706-812-9852",
"fax_number": "706-812-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 VERNON ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302403109",
"telephone_number": "706-812-9852",
"fax_number": "706-812-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATKINS",
"first_name": "BONNIE",
"middle_name": "ADAMS",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lagrange, GA
- Laqua'Sha Monique Warren, MSN, APRN, FNP-C
- John Paul Warrick Jr., DPM
- Ryer Bionca Warrior, BSN, RN
- Wayde Jennings Washburn, CAC II, NCAC I
- Ariauna C. Washington, MS, LAT, ATC, SMTC
- Arielle Watson, NP
- We Care Health Essentials
- We Care Private Home Care LLC
- Melanie Dawn Weathington
- Rachel Byrd Webber, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.