Individual provider Active NPI

Jessica Pritchard, PHARMD, MBA

  • Pharmacist
  • Canton, GA
National Provider Identifier
1063853091
Registry record updated Jul 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027167 Issued in GA
Practice address
3760 Sixes Rd
#110
Canton, GA 30114-8192
Phone
(770) 345-8378
NPI assigned
Jul 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027167 GA Primary

Addresses

Primary practice location

3760 Sixes Rd
#110
Canton, GA 30114-8192

Mailing address

3760 Sixes Rd
#110
Canton, GA 30114-8192
Phone (770) 345-8378

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
Master of Business Administration, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH027167GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Publix Super Markets Inc Past Accepting new patients
Publix Super Markets Inc PastSince Oct 30, 2022 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373068800000",
    "number": "1063853091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 SIXES RD",
            "address_2": "#110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148192",
            "telephone_number": "770-345-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SIXES RD",
            "address_2": "#110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148192",
            "telephone_number": "770-345-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-06",
        "last_updated": "2013-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.