Carla Stanley Sappe, PHARMD, CDM
Individual provider Active NPI Pharmacist · Gordon, GA
NPI 1366468522 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366468522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 21241 (GA)
- Practice address
- 240 Milledgeville Hwy
Gordon, GA 31031-3827 - Phone
- (478) 628-2425
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21241 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gordon Drugs, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21241 | GA | Yes |
Addresses
Primary practice location
240 Milledgeville Hwy
Gordon, GA 31031-3827
Mailing address
101 Chappell St
Gordon, GA 31031-4120
Phone (478) 628-1522
Other names
- Carla Leigh Stanley
Other providers in Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.