Michael Thomas Cartwright Sr., RPH
Individual provider Active NPI Pharmacist · Moody Afb, GA
NPI 1457428575 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1457428575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH019065 (GA)
- Practice address
- 3278 Mitchell Blvd
Moody Afb, GA 31699-2227 - Phone
- (229) 257-3221
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13222 | AL | MD | Pharmacist |
| RPH019065 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 78TH Medgrp-Robins | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH019065 | GA | Yes |
| Pharmacist | 183500000X | 13222 | AL |
Addresses
Primary practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-2227
Mailing address
5998 Coppage Rd
Hahira, GA 31632-2048
Phone (478) 919-5223
Other providers in Moody Afb, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.