Individual provider Active NPI

Elisabeth Johnson Bailey, RPH

  • Pharmacist
  • Gainesville, GA
National Provider Identifier
1255742136
Registry record updated May 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH018859 Issued in GA
Practice address
400 Shallowford Rd NW
Gainesville, GA 30504-4152
Phone
(770) 531-0325
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
Yes

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

LicenseStateTypeSpecialty
8882SCMDGeneral Practice Dentistry
RPH018859GAMDPharmacist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH018859 GA Primary
Pharmacist 183500000X 8882 SC

Addresses

NPPES NPI Registry

Primary practice location

400 Shallowford Rd NW
Gainesville, GA 30504-4152

Mailing address

2818 Wickeford Mill Dr
Buford, GA 30519-7611
Phone (678) 622-3766

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
RPH018859OtherGAPHARMACY LICENSE NUMBER FOR THE STATE OF GEORGIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2014.

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1255742136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 WICKEFORD MILL DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197611",
            "telephone_number": "678-622-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHALLOWFORD RD NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305044152",
            "telephone_number": "770-531-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "ELISABETH",
        "middle_name": "JOHNSON",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018859",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "8882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER FOR THE STATE OF GEORGIA",
            "identifier": "RPH018859",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.