Savannah Wren Rainey
Individual provider Active NPI Pharmacist · Hahira, GA
NPI 1134855414 · NPPES record last updated Jul 28, 2022
Key facts
- NPI
- 1134855414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH033668 (GA)
- Practice address
- 205 E Main St
Hahira, GA 31632-1121 - Phone
- (229) 794-2750
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033668 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH033668 | GA | Yes |
Addresses
Primary practice location
205 E Main St
Hahira, GA 31632-1121
Mailing address
440 W Stanfill St Unit B3
Hahira, GA 31632-1010
Other providers in Hahira, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.