Active NPI
Tammie McVicker, RPH.
- Pharmacist
- Peachtree City, GA
National Provider Identifier
1427349703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14113
- Practice address
- 1232 S. Hwy 74
Rite Aid 11780
Peachtree City, GA 30269 - Phone
- (770) 631-3766
- Fax
- (770) 631-7765
- NPI assigned
- Apr 21, 2011
- 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 | 14113 | GA | Primary |
Addresses
Primary practice location
1232 S. Hwy 74
Rite Aid 11780
Peachtree City, GA 30269
Mailing address
11780 1232 S. Hwy. 74
Rite Aid 11780
Peachtree City, GA 30269
Phone (770) 716-7076
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 |
|---|---|---|---|
| 14113 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1427349703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11780 1232 S. HWY. 74",
"address_2": "RITE AID 11780",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30269",
"telephone_number": "770-716-7076",
"fax_number": "770-716-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1232 S. HWY 74",
"address_2": "RITE AID 11780",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30269",
"telephone_number": "770-631-3766",
"fax_number": "770-631-7765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCVICKER",
"first_name": "TAMMIE",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "14113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.