Active NPI
Bobby Darrell Forrister, PHARMD
- Pharmacist
- Summerville, GA
National Provider Identifier
1194315416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020958
- Practice address
- 9881 Commerce St Ste a
Summerville, GA 30747-1300 - Phone
- (706) 808-1100
- NPI assigned
- Jan 20, 2021
- Last updated
- Jan 20, 2021
- 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 | 020958 | GA | Primary |
Addresses
Primary practice location
9881 Commerce St Ste a
Summerville, GA 30747-1300
Mailing address
1205 Rockmart Hwy
Cedartown, GA 30125-3311
Phone (770) 842-7508
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020958 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Choice II 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1194315416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 ROCKMART HWY",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301253311",
"telephone_number": "770-842-7508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9881 COMMERCE ST STE A",
"city": "SUMMERVILLE",
"state": "GA",
"postal_code": "307471300",
"telephone_number": "706-808-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORRISTER",
"first_name": "BOBBY",
"middle_name": "DARRELL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, GA
- Deborah S Farris, LPC
- Abigail Faul
- Deborah E. Faulkner, RN
- Floyd Healthcare Management, Inc (Atrium Health Floyd Urgent Care Summerville)
- Foothills Counseling, LLC
- Free Life Therapy Services LLC
- Michael W Free, LCSW
- Rachel Galyon Trundle, PT
- Georgia CVS Pharmacy LLC (CVS Pharmacy # 04582)
- Graceful Touch Healthcare Providers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.