Jared Alan Lott, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH020494 Issued in GA

Practice address

303 Charlie Watts Blvd
Dallas, GA 30157

Phone

(770) 443-4886

Fax

(770) 443-5904

NPI assigned

Oct 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Dallas, GA
  • NPI 1386930071
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1104101690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 CHARLIE WATTS BLVD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "770-443-4886",
            "fax_number": "770-443-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CHARLIE WATTS BLVD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "30157",
            "telephone_number": "770-443-4886",
            "fax_number": "770-443-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "JARED",
        "middle_name": "ALAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1161568",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386930071",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ta'Mia Little
• Live Life Now
• Amanda D Lloyd, APC, NCC
• Brian Long
• Myah Long, DC
• Michael S Lott Sr., MD
• Jude Cyprien Louissaint, LMSW
• Jodie Lovell
• Joshua Shane Lowery, D.C.
• LTHW Surgical, LLC

• Pharmacist in Dallas, GA
• Providers in Dallas, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.

Verify at the official NPI Registry.