Jana Patton, PHARMACIST
Individual provider Active NPI Pharmacist · Sylvester, GA
NPI 1376147306 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1376147306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH027784 (GA)
- Practice address
- 120 N Main St
Sylvester, GA 31791-2192 - Phone
- (229) 463-7064
- NPI assigned
- Nov 30, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027784 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy on Main LLC | Current |
Accepting new patients |
Locations
120 N Main St
Sylvester, GA 31791
Phone (229) 463-7064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH027784 | GA | Yes |
Addresses
Primary practice location
120 N Main St
Sylvester, GA 31791-2192
Mailing address
167 Plantation Dr
Chula, GA 31733-4360
Phone (912) 592-5777
Other providers in Sylvester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. 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.