Active NPI
Jan Wood Dowda, RPH
- Pharmacist
- East Ellijay, GA
National Provider Identifier
1508477613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH017888
- Practice address
- 192 1St St
East Ellijay, GA 30540 - Phone
- (706) 635-2241
- Fax
- (706) 635-2246
- NPI assigned
- Aug 12, 2020
- Last updated
- Dec 22, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071888 | GA | |
| Pharmacist | 183500000X | RPH017888 | GA | Primary |
Addresses
Primary practice location
192 1St St
East Ellijay, GA 30540
Mailing address
346 White Oak Dr
Jasper, GA 30143-2025
Phone (770) 893-8681
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 |
|---|---|---|---|
| RPH017888 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1508477613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 WHITE OAK DR",
"city": "JASPER",
"state": "GA",
"postal_code": "301432025",
"telephone_number": "770-893-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 1ST ST",
"city": "EAST ELLIJAY",
"state": "GA",
"postal_code": "30540",
"telephone_number": "706-635-2241",
"fax_number": "706-635-2246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOWDA",
"first_name": "JAN",
"middle_name": "WOOD",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-12",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "071888",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Ellijay, GA
- Cardiac Disease Specialists, PC
- Cardiovascular Imaging of North Georgia LLC
- John Walsh Davis, D.C.
- Paul Edward Deshane, PTA
- Digestive Healthcare of Ga, P.C. (Digestive Healthcare of GA Ellijay)
- Ellijay Urgent Care & Family Practice LLC (Ellijay Urgent Care & Family Practice)
- Islam G Eltarawy, MD
- Envision a Chiropractic Healing, LLC
- Linda Diane Everett, M.S., CCC-SLP
- Family Life Chiropractic Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.