Active NPI
Myra W. Jones, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Tucker, GA
National Provider Identifier
1245510437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 015364
- Practice address
- 200 Crescent Center Pkwy
Tucker, GA 30084-7047 - Phone
- (770) 496-3565
- Fax
- (770) 496-3487
- NPI assigned
- Aug 19, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 015364 | GA | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PDTM000023 | GA |
Addresses
Primary practice location
200 Crescent Center Pkwy
Tucker, GA 30084-7047
Mailing address
200 Crescent Center Pkwy
Tucker, GA 30084-7047
Phone (770) 496-3565
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015364 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| PDTM000023 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313712000000",
"number": "1245510437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CRESCENT CENTER PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847047",
"telephone_number": "770-496-3565",
"fax_number": "770-496-3487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CRESCENT CENTER PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847047",
"telephone_number": "770-496-3565",
"fax_number": "770-496-3487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MYRA",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2011-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "015364",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "PDTM000023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.