Active NPI
Debra B Cleveland, RPH
- Pharmacist
- Hartwell, GA
National Provider Identifier
1205919487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12540
- Practice address
- 118 Athens St
Hartwell, GA 30643-1851 - Phone
- (706) 376-5801
- Fax
- (706) 376-8687
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 12540 | GA | Primary |
Addresses
Primary practice location
118 Athens St
Hartwell, GA 30643-1851
Mailing address
PO Box 543
Hartwell, GA 30643-0543
Phone (706) 376-6901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH012540 | Other | GA | STATE PHARMACIST LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1205919487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 543",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306430543",
"telephone_number": "706-376-6901",
"fax_number": "706-376-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 ATHENS ST",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306431851",
"telephone_number": "706-376-5801",
"fax_number": "706-376-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "DEBRA",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "12540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE PHARMACIST LICENSE",
"identifier": "RPH012540",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartwell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.