Active NPI
Lori Jackson Payne, RPH
- Pharmacist
- Americus, GA
National Provider Identifier
1396940136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- GA19085
- Practice address
- 100 Wheatley Dr
Americus, GA 31709-3788 - Phone
- (229) 931-1265
- Fax
- (229) 931-1175
- NPI assigned
- Jun 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | GA19085 | GA | Primary |
Addresses
Primary practice location
100 Wheatley Dr
Americus, GA 31709-3788
Mailing address
1872 Payne Pond Rd
Weston, GA 31832-3136
Phone (229) 942-1643
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
| License | State | Type | Specialty |
|---|---|---|---|
| GA19085 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396940136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1872 PAYNE POND RD",
"city": "WESTON",
"state": "GA",
"postal_code": "318323136",
"telephone_number": "229-942-1643",
"fax_number": "229-828-2140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WHEATLEY DR",
"city": "AMERICUS",
"state": "GA",
"postal_code": "317093788",
"telephone_number": "229-931-1265",
"fax_number": "229-931-1175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LORI",
"middle_name": "JACKSON",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "GA19085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Americus, GA
Sources for this page
- 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.