Active NPI
Dorothy B Price, RPH
- Nuclear Pharmacist
- Lake Park, GA
National Provider Identifier
1215065768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Pharmacist
- License
- 11596
- Practice address
- 1060 Lakes Boulevard
Winn Dixie #32
Lake Park, GA 31636 - Phone
- (229) 559-7736
- Fax
- (229) 559-3190
- NPI assigned
- Feb 28, 2007
- 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 |
|---|---|---|---|---|
| Nuclear Pharmacist | 1835N0905X | 11596 | GA | Primary |
Addresses
Primary practice location
1060 Lakes Boulevard
Winn Dixie #32
Lake Park, GA 31636
Mailing address
140 Crooked Creek Lane
Quitman, GA 31643
Phone (229) 263-4796
Other names 1
- Mr. James Edward Price Sr.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11596 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215065768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 CROOKED CREEK LANE",
"city": "QUITMAN",
"state": "GA",
"postal_code": "31643",
"telephone_number": "229-263-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 LAKES BOULEVARD",
"address_2": "WINN DIXIE #32",
"city": "LAKE PARK",
"state": "GA",
"postal_code": "31636",
"telephone_number": "229-559-7736",
"fax_number": "229-559-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "DOROTHY",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835N0905X",
"taxonomy_group": "",
"desc": "Pharmacist, Nuclear",
"state": "GA",
"license": "11596",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "PRICE",
"middle_name": "EDWARD",
"prefix": "MR.",
"suffix": "SR.",
"credential": "MR",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Park, GA
Sources for this page
- 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.