Joseph Daniel-Bailey Fernander, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHTC003567 Issued in GA

Practice address

118 Ridgeview CT
Peachtree City, GA 30269-1533

Phone

(770) 584-2755

NPI assigned

Feb 4, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1235478751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PEACHTREE EAST SHOPPING CTR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694045",
            "telephone_number": "770-468-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 RIDGEVIEW CT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691533",
            "telephone_number": "770-584-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDER",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL-BAILEY",
        "name_prefix": "Mr.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC003567",
            "primary": true
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "500107010023466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacy Technician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Pharmacy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.