Active NPI
Sherry Petraroli, RPH
- Pharmacist
- Blue Ridge, GA
National Provider Identifier
1508468422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014092
- Practice address
- 6020 Appalachian Hwy
Blue Ridge, GA 30513-4283 - Phone
- (706) 632-2244
- Fax
- (706) 632-4440
- NPI assigned
- Nov 16, 2020
- 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 | 014092 | GA | Primary |
Addresses
Primary practice location
6020 Appalachian Hwy
Blue Ridge, GA 30513-4283
Mailing address
PO Box 303
Cherry Log, GA 30522-0303
Phone (678) 428-9594
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 |
|---|---|---|---|
| 014092 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1508468422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 303",
"city": "CHERRY LOG",
"state": "GA",
"postal_code": "305220303",
"telephone_number": "678-428-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 APPALACHIAN HWY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305134283",
"telephone_number": "706-632-2244",
"fax_number": "706-632-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRAROLI",
"first_name": "SHERRY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "014092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ridge, GA
- Jordan Patton, M.D.
- Ronald Bradburn Vincent Pearson Jr., M.D.
- Renee Gabrielle Pellom, RBT
- Guillermo A Pena, MD
- Brittany Marie Perslin, APRN, FNP-BC
- Deborah Collins Pietrangelo, FNPC
- Shannon Lawrence Pitman, M.D.
- Rachel Beth Prater, RBT
- William L Prather, LICENSED PHARMACIST
- Premier Ophthalmic Dispensary LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.