Individual provider Active NPI

Larry Dewain Guthrie Jr., RPH, CDM

  • Pharmacotherapy Pharmacist
  • Athens, GA
National Provider Identifier
1376543330
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RPH016103 Issued in GA
Practice address
Athens VA Outpatient Clinic
9249 Highway 29 North
Athens, GA 30601-1400
Phone
(706) 227-4548
Fax
(706) 227-4538
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH016103 GA
Pharmacotherapy Pharmacist 1835P1200X RPH016103 GA Primary

Addresses

Primary practice location

Athens VA Outpatient Clinic
9249 Highway 29 North
Athens, GA 30601-1400

Mailing address

1080 Knox RDG
Athens, GA 30606-7044
Phone (706) 583-8337

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
RPH016103GAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376543330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 KNOX RDG",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067044",
            "telephone_number": "706-583-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATHENS VA OUTPATIENT CLINIC",
            "address_2": "9249 HIGHWAY 29 NORTH",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306011400",
            "telephone_number": "706-227-4548",
            "fax_number": "706-227-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTHRIE",
        "first_name": "LARRY",
        "middle_name": "DEWAIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH, CDM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH016103",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "RPH016103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.