Active NPI
Garry James Kelley, RPH
- Pharmacist
- East Dublin, GA
National Provider Identifier
1306085741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH014618
- Practice address
- 620 Central Drive
East Dublin, GA 31027 - Phone
- (478) 272-1867
- NPI assigned
- Feb 9, 2009
- Last updated
- Feb 9, 2009
- Sex
- Male
- Sole proprietor
- No
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 | RPH014618 | GA | Primary |
Addresses
Primary practice location
620 Central Drive
East Dublin, GA 31027
Mailing address
224 Waverly Dr
Dublin, GA 31021-3845
Phone (478) 272-1867
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 |
|---|---|---|---|
| RPH014618 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1306085741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 WAVERLY DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213845",
"telephone_number": "478-272-1867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CENTRAL DRIVE",
"city": "EAST DUBLIN",
"state": "GA",
"postal_code": "31027",
"telephone_number": "478-272-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "GARRY",
"middle_name": "JAMES",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-09",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH014618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.