Active NPI
Kirstin Bentley, PHARMD
- Pharmacist
- Washington, GA
National Provider Identifier
1073291324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034314
- Practice address
- 115 E Robert Toombs Ave
Washington, GA 30673-1737 - Phone
- (706) 678-2260
- NPI assigned
- Jul 7, 2023
- Sex
- Female
- Sole proprietor
- No
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.
-
- Long Term Care Pharmacy
- Elberton, GA
- NPI 1952122665
-
- Community/Retail Pharmacy
- Elberton, GA
- NPI 1992720221
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 |
|---|---|---|---|
| RPH034314 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maddens Pharmacy Inc | Past | Accepting new patients | |
| Maddens Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034314 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
115 E Robert Toombs Ave
Washington, GA 30673-1737
Mailing address
PO Box 114
Rayle, GA 30660-0114
Other practice location 1
101 College Ave
Elberton, GA 30635-1705
Phone (706) 283-1701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 7, 2023.
{
"created_epoch": "1688688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688688000000",
"number": "1073291324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 114",
"city": "RAYLE",
"state": "GA",
"postal_code": "306600114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 E ROBERT TOOMBS AVE",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306731737",
"telephone_number": "706-678-2260"
}
],
"practiceLocations": [
{
"address_1": "101 College Ave",
"address_purpose": "LOCATION",
"city": "Elberton",
"state": "GA",
"postal_code": "306351705",
"country_code": "US",
"telephone_number": "706-283-1701",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTLEY",
"first_name": "KIRSTIN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-07",
"last_updated": "2023-07-07",
"certification_date": "2023-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.