Active NPI
James Bloodworth Jr., RPH.
- Pharmacist
- Hawkinsville, GA
National Provider Identifier
1194127332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16054
- Practice address
- 342 Industrial Blvd
Suite C
Hawkinsville, GA 31036 - Phone
- (478) 783-1515
- NPI assigned
- Sep 18, 2014
- Last updated
- Sep 18, 2014
- 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 | 16054 | GA | Primary |
Addresses
Primary practice location
342 Industrial Blvd
Suite C
Hawkinsville, GA 31036
Mailing address
342 Industrial Blvd
Suite C
Hawkinsville, GA 31036
Phone (478) 783-1515
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 |
|---|---|---|---|
| 16054 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Pharmacy Ventures LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Magnolia Manor Pharmacy
- Long Term Care Pharmacy
- Hawkinsville, GA
- NPI 1497927321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1194127332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "342 INDUSTRIAL BLVD",
"address_2": "SUITE C",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "31036",
"telephone_number": "478-783-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "342 INDUSTRIAL BLVD",
"address_2": "SUITE C",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "31036",
"telephone_number": "478-783-1515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOODWORTH",
"first_name": "JAMES",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-18",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawkinsville, GA
- Victoria Anderson, PHARMD
- Badia Medical, LLC
- Martin A Baggett, MD
- Batts Drug Company Inc (Batts Drug Company, LTC)
- Batts Drug Company Inc
- BLR, Incorporated (Heritage Inn of Statesboro)
- Robert C. Campbell, M.D.
- Careconnect Health, Inc. (CareConnect Convenient Care)
- Acrissa Nicole Carter
- Rebecca F Casey, PHARMD.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.