Richard K Lott, PHARM D
Individual provider Active NPI Pharmacist · Alma, GA
NPI 1154436079 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154436079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19025 (GA)
- Practice address
- 302 S Wayne St
Alma, GA 31510-2922 - Phone
- (912) 632-8961
- Fax
- (912) 632-2231
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- 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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19025 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19025 | GA | Yes |
Addresses
Primary practice location
302 S Wayne St
Alma, GA 31510-2922
Mailing address
437 John Moore Rd
West Green, GA 31567-4099
Phone (912) 383-6506
Other providers in Alma, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.