Active NPI
Carlos Rodriguez-Feo, RPH
- Pharmacist
- Lexington, GA
National Provider Identifier
1104986827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12478
- Practice address
- 778 Athens Rd
Lexington, GA 30648 - Phone
- (706) 743-5477
- Fax
- (706) 743-3655
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12478 | GA | Primary |
| Pharmacist | 183500000X | 3333 | WV |
Addresses
Primary practice location
778 Athens Rd
Lexington, GA 30648
Mailing address
4710 Old Lexington Rd
Athens, GA 30605-4127
Phone (706) 353-1299
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12478 | Other | GA | STATE LICENSE NUMBER |
| 3333 | Other | WV | STATE LICENSE NUMBER |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3333 | WV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lexinton Pharmacies Inc. | Pharmacist | 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.
-
dba Skrip Shoppe Pharmacy
- Community/Retail Pharmacy
- Lexington, GA
- NPI 1063432979
Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104986827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4710 OLD LEXINGTON RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306054127",
"telephone_number": "706-353-1299",
"fax_number": "706-743-3655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "778 ATHENS RD",
"city": "LEXINGTON",
"state": "GA",
"postal_code": "30648",
"telephone_number": "706-743-5477",
"fax_number": "706-743-3655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ-FEO",
"first_name": "CARLOS",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "12478",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "3333",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "12478",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "3333",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.