Individual provider Active NPI

Mary Jean Hewson, RPH

  • Pharmacist
  • Fayetteville, GA
National Provider Identifier
1275813917
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH022288 Issued in GA
Practice address
780 Glynn St N
Fayetteville, GA 30214-1193
Phone
(770) 716-2262
Fax
(770) 716-3136
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH022288 GA Primary

Addresses

Primary practice location

780 Glynn St N
Fayetteville, GA 30214-1193

Mailing address

780 Glynn St N
Fayetteville, GA 30214-1193
Phone (770) 716-2262

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
RPH022288GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1275813917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 GLYNN ST N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141193",
            "telephone_number": "770-716-2262",
            "fax_number": "770-716-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 GLYNN ST N",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141193",
            "telephone_number": "770-716-2262",
            "fax_number": "770-716-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWSON",
        "first_name": "MARY",
        "middle_name": "JEAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH022288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.