Active NPI
Elisabeth Johnson Bailey, RPH
- Pharmacist
- Gainesville, GA
National Provider Identifier
1255742136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH018859
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8882 | SC | MD | General Practice Dentistry |
| RPH018859 | GA | MD | Pharmacist |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH018859 | GA | Primary |
| Pharmacist | 183500000X | 8882 | SC |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH018859 | Other | GA | PHARMACY 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.