Active NPI
Kaylee Beaty
- Pharmacist
- Thomasville, GA
National Provider Identifier
1447716238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031102
- Practice address
- 1404 E Jackson St
Thomasville, GA 31792-3937 - Phone
- (229) 225-1402
- NPI assigned
- Feb 16, 2019
- Last updated
- Feb 16, 2019
- 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 | RPH031102 | GA | Primary |
Addresses
Primary practice location
1404 E Jackson St
Thomasville, GA 31792-3937
Mailing address
1404 E Jackson St
Thomasville, GA 31792-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH031102 | Other | GA | GEORGIA BOARD OF PHARMACY LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031102 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550275200000",
"number": "1447716238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 E JACKSON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317923937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 E JACKSON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317923937",
"telephone_number": "229-225-1402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATY",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-16",
"last_updated": "2019-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA BOARD OF PHARMACY LICENSE",
"identifier": "RPH031102",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.