Individual provider Active NPI

Rebecca Shead Mays, PHARM.D.

  • Pharmacist
  • Leesburg, GA
National Provider Identifier
1407194756
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH020550 Issued in GA
Practice address
125 Carlton Dr
Leesburg, GA 31763-5652
Phone
(229) 814-8443
Fax
(229) 814-8444
NPI assigned
Jan 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHRE010937 GA
Pharmacist 183500000X RPH020550 GA Primary

Addresses

Primary practice location

125 Carlton Dr
Leesburg, GA 31763-5652

Mailing address

125 Carlton Dr
Leesburg, GA 31763-5652
Phone (229) 814-8443

Other identifiers 1

IdentifierTypeStateIssuer
003251769AMedicaidGA

Other names 1

  • Mrs. Rebecca Lynn Stroble Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Leesburg Health Information Exchange (HIE)

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH020550GAMDPharmacist
PHRE010937GAMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Pharmacy, LLC Community/Retail Pharmacy CurrentSince Aug 1, 2021 Accepting new patients

Locations

125 Carlton Dr
Leesburg, GA 31763
Phone (229) 814-8443

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1407194756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CARLTON DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635652",
            "telephone_number": "229-814-8443",
            "fax_number": "229-814-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CARLTON DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317635652",
            "telephone_number": "229-814-8443",
            "fax_number": "229-814-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYS",
        "first_name": "REBECCA",
        "middle_name": "SHEAD",
        "name_prefix": "Mrs.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE010937",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003251769A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Leesburg",
            "affiliation": "N",
            "endpointDescription": "Oakland Pharmacy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Leesburg",
            "address_1": "125 Carlton Dr",
            "city": "Leesburg",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317635652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "STROBLE",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.