Individual provider Active NPI

Sarah Jacqueline Myrna

  • Pharmacist
  • Brunswick, GA
National Provider Identifier
1477944882
Registry record updated Feb 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027932 Issued in GA
Practice address
3487 Cypress Mill Rd
Brunswick, GA 31520-2857
Phone
(912) 265-6330
NPI assigned
Feb 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027932 GA Primary

Addresses

Primary practice location

3487 Cypress Mill Rd
Brunswick, GA 31520-2857

Mailing address

56 Marsh Hen CT
Richmond Hill, GA 31324-5297
Phone (706) 621-9803

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

State licenses

LicenseStateTypeSpecialty
RPH027932GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1477944882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MARSH HEN CT",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313245297",
            "telephone_number": "706-621-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 CYPRESS MILL RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315202857",
            "telephone_number": "912-265-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYRNA",
        "first_name": "SARAH",
        "middle_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.