Elbert William Fricks, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

9245 Issued in GA

Practice address

4450 Rockmart Rd SE
Silver Creek, GA 30173-2438

Phone

(706) 292-0106

Fax

(706) 292-0647

NPI assigned

Mar 1, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Elbert William Fricks Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Silver Creek RX LLC

  dba Silver Creek Pharmacy

  • Community/Retail Pharmacy
  • Silver Creek, GA
  • NPI 1780738245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194853366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SURREY TRL SE",
            "address_2": "SE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615946",
            "telephone_number": "706-291-7235",
            "fax_number": "706-291-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 ROCKMART RD SE",
            "city": "SILVER CREEK",
            "state": "GA",
            "postal_code": "301732438",
            "telephone_number": "706-292-0106",
            "fax_number": "706-292-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRICKS",
        "first_name": "ELBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "9245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELBERT",
            "last_name": "FRICKS",
            "middle_name": "WILLIAM",
            "prefix": "MR.",
            "credential": "PHARMACIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Highland Rivers Community Service Board
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• Highland Rivers Community Service Board

• Pharmacist in Silver Creek, GA
• Providers in Silver Creek, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.