Active NPI
Melanie Brooke Varnadore, PHARMD, RPH
- Pharmacist
- Hazlehurst, GA
National Provider Identifier
1346840139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031055
- Practice address
- 136 E Jarman St
Hazlehurst, GA 31539-6130 - Phone
- (912) 375-3646
- NPI assigned
- Oct 29, 2020
- Last updated
- Oct 29, 2020
- 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 | RPH031055 | GA | Primary |
Addresses
Primary practice location
136 E Jarman St
Hazlehurst, GA 31539-6130
Mailing address
174 Andrea St
Baxley, GA 31513-7139
Phone (912) 253-6108
Other practice location 1
163 S Tallahassee St
Hazlehurst, GA 31539-6465
Phone (912) 375-7781
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031055 | 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 10-1061
- Community/Retail Pharmacy
- Hazlehurst, GA
- NPI 1104843515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1346840139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 ANDREA ST",
"city": "BAXLEY",
"state": "GA",
"postal_code": "315137139",
"telephone_number": "912-253-6108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 E JARMAN ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396130",
"telephone_number": "912-375-3646"
}
],
"practiceLocations": [
{
"address_1": "163 S Tallahassee St",
"address_purpose": "LOCATION",
"city": "Hazlehurst",
"state": "GA",
"postal_code": "315396465",
"country_code": "US",
"telephone_number": "912-375-7781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARNADORE",
"first_name": "MELANIE",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlehurst, GA
- The Medicine of Hazlehurst LLC (Medicine Cabinet of Hazleburst LLC)
- Tony Sparks, LLC Dba Hazlehurst Pediatrics
- Trinity Therapy Services Inc
- David L Turfler, MD
- Jason Kyle Varnadoe, O.D.
- Roger John Venable, M.D.
- Verdant Care Services LLC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1061)
- Clayton Butler Watson
- Kristen Webb, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.