Active NPI
Patirica A Willmann, MS RPH BCOP
- Oncology Pharmacist
- Savannah, GA
National Provider Identifier
1124028659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 015077
- Practice address
- 5353 Reynolds St
Pharmacy Dept
Savannah, GA 31405-6015 - Phone
- (912) 819-8147
- Fax
- (912) 819-8468
- NPI assigned
- Jul 27, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03213959 | OH | |
| Oncology Pharmacist | 1835X0200X | 015077 | GA | Primary |
Addresses
Primary practice location
5353 Reynolds St
Pharmacy Dept
Savannah, GA 31405-6015
Mailing address
3650 Steve Reynolds Blvd.
Kaiser Permanente
Duluth, GA 30096
Phone (404) 365-0966
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 |
|---|---|---|---|
| 03213959 | OH | MD | Pharmacist |
| 015077 | GA | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1124028659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 STEVE REYNOLDS BLVD.",
"address_2": "KAISER PERMANENTE",
"city": "DULUTH",
"state": "GA",
"postal_code": "30096",
"telephone_number": "404-365-0966",
"fax_number": "912-819-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5353 REYNOLDS ST",
"address_2": "PHARMACY DEPT",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314056015",
"telephone_number": "912-819-8147",
"fax_number": "912-819-8468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLMANN",
"first_name": "PATIRICA",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "MS RPH BCOP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-07-27",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03213959",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "GA",
"license": "015077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
- Willing to Care Homecare Services LLC
- Ashley Willingham, FNP-C
- Madison Christine Willingham, MSN, APRN, FNP-BC
- Eric Willis, PT
- Paula Suzanne Willis, PA-C
- Wilmington Health Center, Inc.
- Wilmington Healthcare and Rehabilitation Center LLC
- Wilmington Island Family Dental LLC
- Lashonda Wilson-Mitchell, LPN
- Angelina Wilson, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.