Dana Gribbins
Individual provider Active NPI Pharmacist · Sylvester, GA
NPI 1174245641 · NPPES record last updated Sep 13, 2022
Key facts
- NPI
- 1174245641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH024972 (GA)
- Practice address
- 104 W Franklin St
Sylvester, GA 31791-2047 - Phone
- (229) 776-7619
- NPI assigned
- Sep 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024972 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024972 | GA | Yes |
Addresses
Primary practice location
104 W Franklin St
Sylvester, GA 31791-2047
Mailing address
104 W Franklin St
Sylvester, GA 31791-2047
Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2022. 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.