Active NPI
Terry Ladon Faulk, RPH
- Pharmacist
- Columbus, GA
National Provider Identifier
1518303148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH 015602
- Practice address
- 616 19TH St
Columbus, GA 31901-1528 - Phone
- (706) 494-4362
- NPI assigned
- May 22, 2013
- Last updated
- May 22, 2013
- Sex
- Male
- 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 | RPH 015602 | GA | Primary |
Addresses
Primary practice location
616 19TH St
Columbus, GA 31901-1528
Mailing address
616 19TH St
Columbus, GA 31901-1528
Phone (706) 494-4362
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 |
|---|---|---|---|
| RPH 015602 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1518303148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 19TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011528",
"telephone_number": "706-494-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 19TH ST",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319011528",
"telephone_number": "706-494-4362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAULK",
"first_name": "TERRY",
"middle_name": "LADON",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH 015602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.