Active NPI
Kaitlyn Hellam, PHARMD
- Pharmacist
- Newnan, GA
National Provider Identifier
1477165082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031156
- Practice address
- 1 Millard Farmer Ind Blvd
Newnan, GA 30263-1078 - Phone
- (770) 251-6778
- Fax
- (770) 251-9192
- NPI assigned
- Aug 17, 2020
- 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 | RPH031156 | GA | Primary |
Addresses
Primary practice location
1 Millard Farmer Ind Blvd
Newnan, GA 30263-1078
Mailing address
1 Millard Farmer Ind Blvd
Newnan, GA 30263-1078
Phone (770) 251-6778
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031156 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1 Millard Farmer Ind Blvd
Newnan, GA 30263
Phone (770) 251-6778
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1477165082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MILLARD FARMER IND BLVD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631078",
"telephone_number": "770-251-6778",
"fax_number": "770-251-9192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MILLARD FARMER IND BLVD",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631078",
"telephone_number": "770-251-6778",
"fax_number": "770-251-9192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLAM",
"first_name": "KAITLYN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.