Active NPI
Fred Fielding Sharpe, RPH.
- Pharmacist
- Leesburg, GA
National Provider Identifier
1154449023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011229
- Practice address
- 1579 US Hwy 19 South
Leesburg, GA 31763-0542 - Phone
- (229) 435-4571
- Fax
- (229) 878-4926
- NPI assigned
- Mar 27, 2007
- 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 | 011229 | GA | Primary |
Addresses
Primary practice location
1579 US Hwy 19 South
Leesburg, GA 31763-0542
Mailing address
PO Box 542
Albany, GA 31702-0542
Phone (229) 435-4571
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
| License | State | Type | Specialty |
|---|---|---|---|
| 011229 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154449023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542",
"city": "ALBANY",
"state": "GA",
"postal_code": "317020542",
"telephone_number": "229-435-4571",
"fax_number": "229-878-4926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 US HWY 19 SOUTH",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317630542",
"telephone_number": "229-435-4571",
"fax_number": "229-878-4926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARPE",
"first_name": "FRED",
"middle_name": "FIELDING",
"name_prefix": "Mr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "011229",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.