Active NPI
Victor Powell, PHARMD
- Pharmacist
- Homerville, GA
National Provider Identifier
1326897158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022071
- Practice address
- 1050 Valdosta Hwy
Homerville, GA 31634-9701 - Phone
- (912) 487-5211
- NPI assigned
- May 14, 2024
- Last updated
- May 14, 2024
- 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 | 022071 | GA | Primary |
Addresses
Primary practice location
1050 Valdosta Hwy
Homerville, GA 31634-9701
Mailing address
1005 Saint Catherine Dr
Waycross, GA 31501-4261
Phone (770) 815-1088
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022071 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1326897158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SAINT CATHERINE DR",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014261",
"telephone_number": "770-815-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 VALDOSTA HWY",
"city": "HOMERVILLE",
"state": "GA",
"postal_code": "316349701",
"telephone_number": "912-487-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "VICTOR",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-14",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "022071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homerville, GA
- Murray Drug Co (Acme Pharmacy)
- Megan Smith O'Neal
- Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia - Homerville)
- Daniel Ospina
- Ann Plummer
- Victor Lawrence Proctor, RN
- Roger W Huelsnitz MD PC
- Samuel B Cobarrubias MD, PC
- Charles Semones, M.D.
- Shannon D Smith D. C P.C (Smith Family Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.