Individual provider Active NPI

Dayna Timmer, PHARM.D.

  • Pharmacist
  • Tate, GA
National Provider Identifier
1346548476
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030370 Issued in GA
Practice address
4875 Hwy 53 E
Suite B
Tate, GA 30177
Phone
(678) 454-2323
Fax
(678) 454-2325
NPI assigned
Mar 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12177 SC
Pharmacist 183500000X RPH030370 GA Primary

Addresses

Primary practice location

4875 Hwy 53 E
Suite B
Tate, GA 30177

Mailing address

4875 Hwy 53 E
Tate, GA 30177
Phone (678) 454-2300

Other practice location 1

199 E Church St
Jasper, GA 30143-1301
Phone (706) 253-9237

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

LicenseStateTypeSpecialty
RPH030370GAMDPharmacist
12177SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainside Compounding LLC CurrentSince Sep 25, 2022 Accepting new patients
Walgreen Co PastSince Dec 1, 2020 Accepting new patients
Walgreen Co PastSince Mar 27, 2022 Accepting new patients
Walgreen Co PastSince Dec 1, 2020 Accepting new patients
Bells Family Pharmacy, LLC PastSince Apr 1, 2022 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1346548476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4875 HWY 53 E",
            "city": "TATE",
            "state": "GA",
            "postal_code": "30177",
            "telephone_number": "678-454-2300",
            "fax_number": "678-454-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HWY 53 E",
            "address_2": "SUITE B",
            "city": "TATE",
            "state": "GA",
            "postal_code": "30177",
            "telephone_number": "678-454-2323",
            "fax_number": "678-454-2325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "199 E Church St",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "GA",
            "postal_code": "301431301",
            "country_code": "US",
            "telephone_number": "706-253-9237",
            "fax_number": "706-253-9241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMER",
        "first_name": "DAYNA",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-15",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12177",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tate, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.