Active NPI
Brittnay Spell
- Pharmacist
- Baxley, GA
National Provider Identifier
1346822590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032714
- Practice address
- 980 W Parker St
Baxley, GA 31513-0653 - Phone
- (912) 367-3234
- NPI assigned
- Apr 27, 2021
- Sex
- Female
- 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 | 032714 | GA | Primary |
Addresses
Primary practice location
980 W Parker St
Baxley, GA 31513-0653
Mailing address
409 Azalea Dr
Baxley, GA 31513-7043
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032714 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-5392
- Community/Retail Pharmacy
- Baxley, GA
- NPI 1447277785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1346822590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 AZALEA DR",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315137043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 W PARKER ST",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315130653",
"telephone_number": "912-367-3234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELL",
"first_name": "BRITTNAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "032714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baxley, GA
- Southern Medicine of Baxley, Inc (Southern Medicine of Baxley)
- Southern Pharmacare LLC (Fulghum Drugs)
- Southern Pharmacare LLC
- Southern Primary Care and Behavioral Health Services, LLC
- Southern Vision Care, LLC
- Stan's Medical & Respiratory Equipment, Inc
- Stans Pharmacy Inc
- Stepping Stones Premier Homecare, LLC
- Stepping Stones Therapeutic Solutions LLC
- Kaylee Shay Stipe, M.A., BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.