Active NPI
Claude Tolbert Jr.
- Pharmacist
- Moody AFB, GA
National Provider Identifier
1205258514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11549
- Practice address
- 3278 Mitchell Blvd
Moody AFB, GA 31699-1500 - Phone
- (229) 257-3321
- NPI assigned
- Jan 7, 2014
- Last updated
- Jun 18, 2015
- 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 | 11549 | GA | Primary |
Addresses
Primary practice location
3278 Mitchell Blvd
Moody AFB, GA 31699-1500
Mailing address
3450 Golfe Links Dr
Snellville, GA 30039-4727
Phone (770) 374-5952
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1205258514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 GOLFE LINKS DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300394727",
"telephone_number": "770-374-5952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3278 MITCHELL BLVD",
"city": "MOODY AFB",
"state": "GA",
"postal_code": "316991500",
"telephone_number": "229-257-3321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "CLAUDE",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-07",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "11549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moody AFB, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.