Active NPI
Prince Glenn Hale, RPH
- Pharmacist
- Dublin, GA
National Provider Identifier
1154621357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9951
- Practice address
- 2103 Veterans Blvd
Dublin, GA 31021 - Phone
- (866) 229-7389
- Fax
- (303) 398-5260
- NPI assigned
- Oct 22, 2010
- Last updated
- Oct 22, 2010
- Sex
- Male
- 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 | 9951 | GA | Primary |
Addresses
Primary practice location
2103 Veterans Blvd
Dublin, GA 31021
Mailing address
2103 Veterans Blvd
Dublin, GA 31021
Phone (866) 229-7389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9951 | Other | GA | GEORGIA STATE BOARD OF PHARMACY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287705600000",
"number": "1154621357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 VETERANS BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "866-229-7389",
"fax_number": "303-398-5260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 VETERANS BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "866-229-7389",
"fax_number": "303-398-5260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "PRINCE",
"middle_name": "GLENN",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-22",
"last_updated": "2010-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "9951",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE BOARD OF PHARMACY",
"identifier": "9951",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.