Individual provider Active NPI

David Reginald Ozment, PHARMACIST

  • Pharmacist
  • Rome, GA
National Provider Identifier
1255086948
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH014569 Issued in GA
Practice address
3402 Alabama Hwy NW
Rome, GA 30165-9652
Phone
(706) 234-7616
Fax
(706) 234-7156
NPI assigned
Feb 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH014569 GA Primary

Addresses

Primary practice location

3402 Alabama Hwy NW
Rome, GA 30165-9652

Mailing address

387 S Avery Rd SW
Rome, GA 30165-7972
Phone (706) 346-4404

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

State licenses

LicenseStateTypeSpecialty
RPH014569GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
GMC Pharmacy LLC CurrentSince Feb 27, 2022 Accepting new patients
GMC Pharmacy LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

3402 Highway 20
Rome, GA 30165
Phone (706) 234-7616

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1255086948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 S AVERY RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301657972",
            "telephone_number": "706-346-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 ALABAMA HWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301659652",
            "telephone_number": "706-234-7616",
            "fax_number": "706-234-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZMENT",
        "first_name": "DAVID",
        "middle_name": "REGINALD",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH014569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.