Jerry Lendon Dubberly, PHARMACIST (PHARMD)

Primary specialty

PharmacistTaxonomy code 183500000X

License

019036 Issued in GA

Practice address

2 Peachtree St NW
37TH Floor
Atlanta, GA 30303-3181

Phone

(404) 657-9092

Fax

(404) 656-8366

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366464331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 PARK CREEK DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053772",
            "telephone_number": "770-772-1635",
            "fax_number": "404-656-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PEACHTREE ST NW",
            "address_2": "37TH FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033181",
            "telephone_number": "404-657-9092",
            "fax_number": "404-656-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBBERLY",
        "first_name": "JERRY",
        "middle_name": "LENDON",
        "name_prefix": "Dr.",
        "credential": "PHARMACIST (PHARMD)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Dsouza, PA-S
• Li Du, LICENSE ACUPUNCTURIS
• Susheel Dua, MD
• Amber Duarrani
• Jeremias Rafael Duarte, DO
• Janhavi Dubhashi
• Collin Harding Dubick, M.D.
• Cynthia Ellen Dubin, CNM, FNP
• Sarah Dubin
• Jordan Dubique, M.D.

• Pharmacist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.