Active NPI
Susan Marie White
- Pharmacist
- Cedartown, GA
National Provider Identifier
1174126924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH014651
- Practice address
- 1585 Rome Hwy
Cedartown, GA 30125-4402 - Phone
- (770) 748-2264
- NPI assigned
- Nov 16, 2020
- Sex
- Female
- 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 | RPH014651 | GA | Primary |
Addresses
Primary practice location
1585 Rome Hwy
Cedartown, GA 30125-4402
Mailing address
248 Orchard Dr
Canton, GA 30115-9186
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH014651 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1174126924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 ORCHARD DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301159186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 ROME HWY",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301254402",
"telephone_number": "770-748-2264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "SUSAN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH014651",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.