Active NPI
Jerome R Brite III, PHARM D.
- Pharmacist
- Snellville, GA
National Provider Identifier
1124313812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020385
- Practice address
- 1905 Scenic Hwy N
Target-0917
Snellville, GA 30078-5633 - Phone
- (678) 344-8223
- Fax
- (678) 344-8223
- NPI assigned
- Jun 10, 2011
- Last updated
- Jun 10, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 020385 | GA | Primary |
Addresses
Primary practice location
1905 Scenic Hwy N
Target-0917
Snellville, GA 30078-5633
Mailing address
1905 Scenic Hwy N
Target-0917
Snellville, GA 30078-5633
Phone (678) 344-8223
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 |
|---|---|---|---|
| 020385 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina CVS Pharmacy LLC | 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": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307664000000",
"number": "1124313812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1905 SCENIC HWY N",
"address_2": "TARGET-0917",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785633",
"telephone_number": "678-344-8223",
"fax_number": "678-344-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905 SCENIC HWY N",
"address_2": "TARGET-0917",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785633",
"telephone_number": "678-344-8223",
"fax_number": "678-344-8223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITE",
"first_name": "JEROME",
"middle_name": "R",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARM D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020385",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
- Jasmine Bridges, RBT
- Bridgeway HHA Metro, LLC (BridgeWay Home Health)
- Bright Light Counseling & Coaching, LLC
- Michael Thomas Briscoe, PHARM.D
- Briscoe's Pharmacy, PC (Snell's Pharmacy Inc.)
- Ann Kathryn Bronaugh, RPH
- David Neil Bronaugh, P.A.C.
- Brookwood Dentistry, LLC (Brookwood Dentistry)
- Carol Deforest Brower, BCBA
- Alia Sampson Brown, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.