Active NPI
Stanley Michael Rentz, RPH
- Pharmacist
- Valdosta, GA
National Provider Identifier
1467449090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12624
- Practice address
- 111 E Gordon St
Valdosta, GA 31601-4554 - Phone
- (229) 242-1925
- Fax
- (229) 245-6031
- NPI assigned
- Sep 29, 2005
- Sex
- Male
- 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 | 12624 | GA | Primary |
Addresses
Primary practice location
111 E Gordon St
Valdosta, GA 31601-4554
Mailing address
111 E Gordon St
Valdosta, GA 31601-4554
Phone (229) 244-8083
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 |
|---|---|---|---|
| 12624 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1467449090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E GORDON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316014554",
"telephone_number": "229-244-8083",
"fax_number": "229-245-6031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E GORDON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316014554",
"telephone_number": "229-242-1925",
"fax_number": "229-245-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENTZ",
"first_name": "STANLEY",
"middle_name": "MICHAEL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "12624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.