Active NPI
Melissa Usry
- Pharmacist
- Thomson, GA
National Provider Identifier
1063795045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH026057
- Practice address
- 668 Main St
Thomson, GA 30824-7416 - Phone
- (706) 595-1667
- Fax
- (706) 595-7323
- NPI assigned
- Sep 26, 2011
- Last updated
- Sep 26, 2011
- Sex
- Female
- 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 | RPH026057 | GA | Primary |
Addresses
Primary practice location
668 Main St
Thomson, GA 30824-7416
Mailing address
640 Dogwood Dr
Thomson, GA 30824-1821
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 |
|---|---|---|---|
| RPH026057 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1063795045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 DOGWOOD DR",
"city": "THOMSON",
"state": "GA",
"postal_code": "308241821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 MAIN ST",
"city": "THOMSON",
"state": "GA",
"postal_code": "308247416",
"telephone_number": "706-595-1667",
"fax_number": "706-595-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USRY",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH026057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomson, GA
- Umg Neurosurgery LLC (University Orthopeadics Thomson)
- University McDuffie County Regional Medical Center, Inc (Piedmont McDuffie Hospital)
- University McDuffie County Regional Medical Center, Inc. (University Hospital McDuffie)
- University McDuffie County Regional Medical Center, Inc. (Piedmont McDuffie Hospital)
- Carol Usry, RN
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1658)
- Wal-Mart Stores East, LP.
- Walgreen Co (Walgreens #11995)
- Belinda Lark Walker, LCSW
- Ciara Jacole Wallace, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.