Active NPI
Jere Douglas Couch, R.PH
- Pharmacist
- Newnan, GA
National Provider Identifier
1265683684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH11382
- Practice address
- 155 Portico PL
Newnan, GA 30265-5947 - Phone
- (770) 328-3302
- NPI assigned
- Oct 3, 2008
- Last updated
- Oct 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH11382 | GA | Primary |
Addresses
Primary practice location
155 Portico PL
Newnan, GA 30265-5947
Mailing address
155 Portico PL
Newnan, GA 30265-5947
Phone (770) 328-3302
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 |
|---|---|---|---|
| RPH11382 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1265683684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 PORTICO PL",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302655947",
"telephone_number": "770-328-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 PORTICO PL",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302655947",
"telephone_number": "770-328-3302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "JERE",
"middle_name": "DOUGLAS",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH11382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
- Caroline Copeland, PT, DPT
- Traci Corne, MSCMHC NCC
- Alice S Cornejo, LPC
- Cosmic Pediatrics LLC
- Shaskyyla Cotton, NP
- Counselors Leading and Advancing People (Clap)
- William Eanes Courson, D.O.
- Taylor Michelle Courtner, CRNA
- Coweta Chiropractic LLC
- Coweta County Board of Health (Coweta County Health Department)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.