Active NPI
Carolyn M Stephenson, RPH
- Pharmacist
- Commerce, GA
National Provider Identifier
1467540997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH012425
- Practice address
- 1751 N Elm St
Commerce, GA 30529-2316 - Phone
- (706) 335-3111
- Fax
- (706) 335-0984
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH012425 | GA | Primary |
Addresses
Primary practice location
1751 N Elm St
Commerce, GA 30529-2316
Mailing address
452 Lakeview Dr
Commerce, GA 30529-3022
Phone (706) 423-9686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH012425 | Other | GA | PHARMACY STATE LICENCE |
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 |
|---|---|---|---|
| RPH012425 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467540997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "452 LAKEVIEW DR",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305293022",
"telephone_number": "706-423-9686",
"fax_number": "706-335-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 N ELM ST",
"city": "COMMERCE",
"state": "GA",
"postal_code": "305292316",
"telephone_number": "706-335-3111",
"fax_number": "706-335-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "CAROLYN",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH012425",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY STATE LICENCE",
"identifier": "RPH012425",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Commerce, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.