Individual provider Active NPI

Danielle McLendon Washam, PHARMD

  • Pharmacist
  • Clayton, GA
National Provider Identifier
1518567965
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH029334 Issued in GA
Practice address
1455 Highway 441 S
Clayton, GA 30525-7607
Phone
(706) 782-3730
Fax
(706) 782-9974
NPI assigned
Oct 27, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH029334 GA Primary

Addresses

Primary practice location

1455 Highway 441 S
Clayton, GA 30525-7607

Mailing address

1455 Highway 441 S
Clayton, GA 30525-7607
Phone (706) 782-3730

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH029334GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1518567965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 HIGHWAY 441 S",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305257607",
            "telephone_number": "706-782-3730",
            "fax_number": "706-782-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 HIGHWAY 441 S",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305257607",
            "telephone_number": "706-782-3730",
            "fax_number": "706-782-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHAM",
        "first_name": "DANIELLE",
        "middle_name": "MCLENDON",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.

Verify at the official NPI Registry.