Kyle W Pulliam, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

15406 Issued in GA

Practice address

795 Sparkleberry Rd
Evans, GA 30809-4421

Phone

(706) 513-2424

Fax

(706) 396-3910

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medctr Inc

  • Community/Retail Pharmacy
  • Harlem, GA
  • NPI 1932684032
  NPD Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1306986906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 SPARKLEBERRY RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094421",
            "telephone_number": "706-513-2424",
            "fax_number": "706-396-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 SPARKLEBERRY RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094421",
            "telephone_number": "706-513-2424",
            "fax_number": "706-396-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "KYLE",
        "middle_name": "W",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "15406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psych Consultants PC
• PT Solutions of Acworth LLC
• PT Solutions of Acworth, LLC
• Publix Super Markets Inc
• Publix Super Markets Inc
• Jeffrey Scott Punshon, CSA
• Gentry Renee Purnell
• Pyramid Family Behavioral Health
• Tania Qadir, DO
• James Douglas Quarles Jr., MD

• Pharmacist in Evans, GA
• Providers in Evans, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.