Individual provider Active NPI

Cory Swymer, PHARMD

  • Pharmacist
  • Eatonton, GA
National Provider Identifier
1356762041
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH026559 Issued in GA
Practice address
101 Lake Oconee Pkwy
Eatonton, GA 31024-6054
Phone
(706) 923-2029
NPI assigned
Dec 23, 2013
Last updated
Dec 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH026559 GA Primary

Addresses

Primary practice location

101 Lake Oconee Pkwy
Eatonton, GA 31024-6054

Mailing address

101 Lake Oconee Pkwy
Eatonton, GA 31024-6054
Phone (706) 923-2029

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
RPH026559GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmd on Demand Inc Current Accepting new patients
Pharmd on Demand Inc Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1356762041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246054",
            "telephone_number": "706-923-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310246054",
            "telephone_number": "706-923-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWYMER",
        "first_name": "CORY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.