Individual provider Active NPI

Dwight Mills Harper, RPH

  • Pharmacist
  • Summerville, GA
National Provider Identifier
1376133389
Registry record updated Jan 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016698 Issued in GA
Practice address
9881 Commerce St Ste a
Summerville, GA 30747-1300
Phone
(706) 808-1100
Fax
(706) 808-1103
NPI assigned
Jan 23, 2021
Last updated
Jan 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016698 GA Primary

Addresses

Primary practice location

9881 Commerce St Ste a
Summerville, GA 30747-1300

Mailing address

9881 Commerce St Ste a
Summerville, GA 30747-1300
Phone (706) 808-1100

Other identifiers 3

IdentifierTypeStateIssuer
RPH016698OtherGAGEORGIA BOARD OF PHARMACY
016698OtherGAGEORGIA BOARD OF PHARMACY
016698OtherGAPHARMACIST

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Office Direct
CONNECT URL Office Direct

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
016698GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Choice II LLC PastSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

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": "1611360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611360000000",
    "number": "1376133389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9881 COMMERCE ST STE A",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471300",
            "telephone_number": "706-808-1100",
            "fax_number": "706-808-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9881 COMMERCE ST STE A",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307471300",
            "telephone_number": "706-808-1100",
            "fax_number": "706-808-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "DWIGHT",
        "middle_name": "MILLS",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-23",
        "last_updated": "2021-01-23",
        "certification_date": "2021-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "016698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "RPH016698",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF PHARMACY",
            "identifier": "016698",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "016698",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business address",
            "address_1": "9881 Commerce St Ste A",
            "city": "Summerville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307471300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Office",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business address",
            "address_1": "9881 Commerce St Ste A",
            "city": "Summerville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307471300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Summerville, GA

Sources for this page

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

Verify at the official NPI Registry.