Individual provider Active NPI

Alexandra Renata Slone, RPH

  • Pharmacist
  • Dahlonega, GA
National Provider Identifier
1144529629
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH020801 Issued in GA
Practice address
566 E Main St
Dahlonega, GA 30533-0530
Phone
(706) 864-7641
Fax
(706) 867-6929
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 115277 MN
Pharmacist 183500000X PS27794 FL
Pharmacist 183500000X RPH020801 GA Primary

Addresses

Primary practice location

566 E Main St
Dahlonega, GA 30533-0530

Mailing address

566 E Main St
Dahlonega, GA 30533-0530
Phone (706) 864-7641

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS27794FLMDPharmacist
RPH020801GAMDPharmacist
115277MNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1144529629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 E MAIN ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330530",
            "telephone_number": "706-864-7641",
            "fax_number": "706-867-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 E MAIN ST",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330530",
            "telephone_number": "706-864-7641",
            "fax_number": "706-867-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLONE",
        "first_name": "ALEXANDRA",
        "middle_name": "RENATA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115277",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27794",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.

Verify at the official NPI Registry.