Active NPI
Chloe Lee Vickers, PHARMD, RPH
- Pharmacist
- Douglas, GA
National Provider Identifier
1427728740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033272
- Practice address
- 602 Peterson Ave S
Douglas, GA 31533-5233 - Phone
- (912) 260-1198
- NPI assigned
- Sep 17, 2021
- Last updated
- Sep 17, 2021
- 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 | RPH033272 | GA | Primary |
Addresses
Primary practice location
602 Peterson Ave S
Douglas, GA 31533-5233
Mailing address
2177 Conway Vickers Rd
Ambrose, GA 31512-3733
Phone (912) 309-0229
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033272 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
602 Peterson Ave S
Douglas, GA 31533
Phone (912) 260-1198
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631836800000",
"number": "1427728740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2177 CONWAY VICKERS RD",
"city": "AMBROSE",
"state": "GA",
"postal_code": "315123733",
"telephone_number": "912-309-0229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 PETERSON AVE S",
"city": "DOUGLAS",
"state": "GA",
"postal_code": "315335233",
"telephone_number": "912-260-1198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICKERS",
"first_name": "CHLOE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-17",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.