Wesley Douglas McKenzie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH026568 Issued in GA

Practice address

2500 Mirror Lake Blvd
Villa Rica, GA 30180

Phone

(678) 840-8788

Fax

(678) 840-8786

NPI assigned

Jan 15, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1477890168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 NUNNALLY PL",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803625",
            "telephone_number": "770-595-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MIRROR LAKE BLVD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "30180",
            "telephone_number": "678-840-8788",
            "fax_number": "678-840-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "WESLEY",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda R McDaniel, CNM
• Melinda Schillinger McDonald, P.T.
• McDowell & Co., LLC
• Stacey Marie McDowell, DMD
• Patrick T McKay, LPC
• Carollynn McMahan, MED, CCC-SLP
• Celina Monique McMillian
• Kalene McSwain Faulkner
• Joseph Paul McWilliams, R PH
• Victoria Mearns

• Pharmacist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.