Active NPI
Nancy Elam, R.PH.
- Pharmacist
- Valdosta, GA
National Provider Identifier
1245356252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH021023
- Practice address
- 3200 N Ashley St
Valdosta, GA 31602-1745 - Phone
- (229) 242-3007
- Fax
- (229) 242-5831
- NPI assigned
- Mar 21, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH021023 | GA | Primary |
Addresses
Primary practice location
3200 N Ashley St
Valdosta, GA 31602-1745
Mailing address
4256 Whisperwood Cir
Valdosta, GA 31602-4951
Phone (229) 247-4409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH021023 | Other | GA | PHARMACIST LICENSE NUMBER |
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 |
|---|---|---|---|
| RPH021023 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245356252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4256 WHISPERWOOD CIR",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316024951",
"telephone_number": "229-247-4409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N ASHLEY ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021745",
"telephone_number": "229-242-3007",
"fax_number": "229-242-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELAM",
"first_name": "NANCY",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH021023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "RPH021023",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, 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.