Active NPI
Brianna Lacey Thiede, PHARMD
- Pharmacist
- Washington, GA
National Provider Identifier
1205574522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031624
- Practice address
- 920 E Robert Toombs Ave
Washington, GA 30673-2050 - Phone
- (706) 678-1567
- Fax
- (706) 678-3072
- NPI assigned
- May 25, 2022
- Last updated
- May 25, 2022
- Sex
- Female
- 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 | RPH031624 | GA | Primary |
Addresses
Primary practice location
920 E Robert Toombs Ave
Washington, GA 30673-2050
Mailing address
920 E Robert Toombs Ave
Washington, GA 30673-2050
Phone (706) 678-1567
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 |
|---|---|---|---|
| RPH031624 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients | |
| Georgia CVS Pharmacy, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
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": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1205574522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 E ROBERT TOOMBS AVE",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306732050",
"telephone_number": "706-678-1567",
"fax_number": "706-678-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E ROBERT TOOMBS AVE",
"city": "WASHINGTON",
"state": "GA",
"postal_code": "306732050",
"telephone_number": "706-678-1567",
"fax_number": "706-678-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIEDE",
"first_name": "BRIANNA",
"middle_name": "LACEY",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, GA
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- Springtide Health Partners, LLC
- Total Renal Care Inc (Washington Dialysis Center)
- Townsend Chiropractic L.L.C. (Stewart Clinic Medical Group Washington)
- Kevin W. Townsend, DC
- Transit America LLC
- United Rehab Inc. (United Rehab of Wilkes)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.