Active NPI
Delanie Newberry, PHARMD
- Pharmacist
- Stockbridge, GA
National Provider Identifier
1114645579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033827
- Practice address
- 3618 Highway 138 SE
Stockbridge, GA 30281-4171 - Phone
- (770) 474-5377
- NPI assigned
- Aug 19, 2022
- Last updated
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH033827 | GA | Primary |
Addresses
Primary practice location
3618 Highway 138 SE
Stockbridge, GA 30281-4171
Mailing address
3618 Highway 138 SE
Stockbridge, GA 30281-4171
Phone (770) 474-5309
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 |
|---|---|---|---|
| RPH033827 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | 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, 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": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1114645579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3618 HIGHWAY 138 SE",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814171",
"telephone_number": "770-474-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3618 HIGHWAY 138 SE",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302814171",
"telephone_number": "770-474-5377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "DELANIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- New Covenant Counseling Care
- New Era Counseling & Educational Services LLC
- New Generation Health Services, Inc.
- New Horizons Healthcare Agency LLC
- New Novis Inc
- Sarai Newsome
- Lashanna Newton, EDD, CRC, NCC, LPC
- Next Level Therapy and Wellness Services, LLC
- Anne Aurelie Ngo Tedga Moche, M.D.
- Mary Nguyen
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.