Active NPI
Donnetta L Herold, RPH
- Pharmacist
- Evans, GA
National Provider Identifier
1265561302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17157
- Practice address
- 465 N Belair Rd
Suite 1a
Evans, GA 30809-3188 - Phone
- (706) 854-2424
- NPI assigned
- Mar 5, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4993 | WV | |
| Pharmacist | 183500000X | 17157 | GA | Primary |
Addresses
Primary practice location
465 N Belair Rd
Suite 1a
Evans, GA 30809-3188
Mailing address
4306 Colony SQ
Evans, GA 30809-4298
Phone (706) 868-9143
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 |
|---|---|---|---|
| 4993 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265561302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4306 COLONY SQ",
"city": "EVANS",
"state": "GA",
"postal_code": "308094298",
"telephone_number": "706-868-9143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 N BELAIR RD",
"address_2": "SUITE 1A",
"city": "EVANS",
"state": "GA",
"postal_code": "308093188",
"telephone_number": "706-854-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEROLD",
"first_name": "DONNETTA",
"middle_name": "L",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "4993",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "17157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, 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.