Walter Monroe Massey III, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH014485 Issued in GA

Practice address

1227 Rockbridge Rd
Stone Mountain, GA 30087-3064

Phone

(770) 225-1888

Fax

(770) 225-1889

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1225637499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2463 WOOD TRAIL LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334846",
            "telephone_number": "404-314-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 ROCKBRIDGE RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873064",
            "telephone_number": "770-225-1888",
            "fax_number": "770-225-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "WALTER",
        "middle_name": "MONROE",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH014485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lamar Martin, LCSW
• Maria Martinez-Barnes, NP
• Masalon Personal Care Home Inc.
• Lauren Elizabeth Mason, RN, PNP
• Sherri Mason, MASSAGE THERAPIST
• Frenny K Mathew
• Joseph D Matthews Jr.
• Maximum Care Transportation LLC
• Maximum Life Health Center, Inc.
• Jill D Mays, MS, MAC, LPC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.