Active NPI
Rachel Ashley Skibba, PHARMD
- Pharmacist
- Canton, GA
National Provider Identifier
1124743927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033772
- Practice address
- 120 Prominence Point Pkwy
Canton, GA 30114-9008 - Phone
- (770) 720-4825
- Fax
- (770) 720-4503
- NPI assigned
- Oct 5, 2022
- 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 | RPH033772 | GA | Primary |
Addresses
Primary practice location
120 Prominence Point Pkwy
Canton, GA 30114-9008
Mailing address
4131 Shadowood Pkwy SE
Atlanta, GA 30339-2333
Phone (850) 348-2690
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 |
|---|---|---|---|
| RPH033772 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Current | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Locations
120 Prominence Point Pkwy
Canton, GA 30114
Phone (770) 720-4825
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 and National Provider Directory roles.
-
dba Publix Pharmacy #1064
- Community/Retail Pharmacy
- Canton, GA
- NPI 1629017660
-
dba Publix Pharmacy #2107
- Community/Retail Pharmacy
- Winter Haven, FL
- NPI 1760356380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1124743927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4131 SHADOWOOD PKWY SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303392333",
"telephone_number": "850-348-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROMINENCE POINT PKWY",
"city": "CANTON",
"state": "GA",
"postal_code": "301149008",
"telephone_number": "770-720-4825",
"fax_number": "770-720-4503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKIBBA",
"first_name": "RACHEL",
"middle_name": "ASHLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
- Ashley Pritchett Simms, NP-C
- Elaine Charlotte Simms, LCSW
- Simplicity Therapy Group Inc (Simplicity Pediatric Therapy)
- Courtney Evans Sinclair, M.D.
- Erin Brooke Sipe, N.P.
- Joanne Slatinsky, LPC
- Maria Trina Guzman Slatton, RPT
- Kristen Bozeman Small, PHARMD, RPH
- Amanda Gail Smith, CAC II
- Aubrey Smith, LOP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.