James Harworth Beale, RPH
Individual provider Active NPI Pharmacist · Waycross, GA
NPI 1295837052 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295837052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14779 (GA)
- Practice address
- 1710 Alice St
Waycross, GA 31501-5216 - Phone
- (912) 283-1151
- Fax
- (912) 283-9797
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14779 | GA | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14779 | GA | Yes |
Addresses
Primary practice location
1710 Alice St
Waycross, GA 31501-5216
Mailing address
4040 Pinecrest Rd
Waycross, GA 31503-9576
Phone (912) 285-5473
Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.