Active NPI
Cynthia Bass Kucela, RPH
- Pharmacist
- Gracewood, GA
National Provider Identifier
1427434273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH014488
- Practice address
- 100 Myrtle Blvd
East Central Regional Hospital Dept of Pharmacy
Gracewood, GA 30812 - Phone
- (706) 790-2496
- Fax
- (706) 790-2340
- NPI assigned
- Aug 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 | RPH014488 | GA | Primary |
Addresses
Primary practice location
100 Myrtle Blvd
East Central Regional Hospital Dept of Pharmacy
Gracewood, GA 30812
Mailing address
100 Myrtle Blvd
East Central Regional Hospital Dept of Pharmacy
Gracewood, GA 30812
Phone (706) 790-2496
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 |
|---|---|---|---|
| RPH014488 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1427434273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MYRTLE BLVD",
"address_2": "EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY",
"city": "GRACEWOOD",
"state": "GA",
"postal_code": "30812",
"telephone_number": "706-790-2496",
"fax_number": "706-790-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MYRTLE BLVD",
"address_2": "EAST CENTRAL REGIONAL HOSPITAL DEPT OF PHARMACY",
"city": "GRACEWOOD",
"state": "GA",
"postal_code": "30812",
"telephone_number": "706-790-2496",
"fax_number": "706-790-2340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCELA",
"first_name": "CYNTHIA",
"middle_name": "BASS",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH014488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gracewood, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.