Active NPI
Grace Anim
- Pharmacist
- Cuthbert, GA
National Provider Identifier
1104521814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH034036
- Practice address
- 800 Blakely St
Cuthbert, GA 39840-5329 - Phone
- (229) 732-2191
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 3, 2023
- 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 | RPH034036 | GA | Primary |
Addresses
Primary practice location
800 Blakely St
Cuthbert, GA 39840-5329
Mailing address
1301 Newbridge Cir
Buford, GA 30519-5384
Phone (678) 598-1544
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 |
|---|---|---|---|
| RPH034036 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 1
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": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1104521814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 NEWBRIDGE CIR",
"city": "BUFORD",
"state": "GA",
"postal_code": "305195384",
"telephone_number": "678-598-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BLAKELY ST",
"city": "CUTHBERT",
"state": "GA",
"postal_code": "398405329",
"telephone_number": "229-732-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIM",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH034036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cuthbert, GA
- Adams Family Pharmacy, Too, Inc
- Adams Family Pharmacy, Too, Inc (Adams Family Pharmacy)
- Albany Area Primary Health Care, Inc. (Randolph County School-Based Health Center)
- Ashley Ann Austin, NP
- Mallory Bates
- Joanna W Braswell, M.ED., CCC-SLP
- Gregory Varneal Bruce
- Careconnect Health, Inc. (CareConnect Convenient Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.