Individual provider Active NPI

Mary Jo Lapp, RPH

  • Pharmacist
  • Augusta, GA
National Provider Identifier
1538453261
Registry record updated May 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023028 Issued in GA
Practice address
235 Robert C Daniel Jr Pkwy
Target Pharmacy T-1090
Augusta, GA 30909-0800
Phone
(706) 733-3011
Fax
(706) 733-3011
NPI assigned
May 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023028 GA Primary

Addresses

Primary practice location

235 Robert C Daniel Jr Pkwy
Target Pharmacy T-1090
Augusta, GA 30909-0800

Mailing address

235 Robert C Daniel Jr Pkwy
Target Pharmacy T-1090
Augusta, GA 30909-0800
Phone (706) 733-3011

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

LicenseStateTypeSpecialty
RPH023028GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1306540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306540800000",
    "number": "1538453261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 ROBERT C DANIEL JR PKWY",
            "address_2": "TARGET PHARMACY T-1090",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090800",
            "telephone_number": "706-733-3011",
            "fax_number": "706-733-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ROBERT C DANIEL JR PKWY",
            "address_2": "TARGET PHARMACY T-1090",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090800",
            "telephone_number": "706-733-3011",
            "fax_number": "706-733-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPP",
        "first_name": "MARY JO",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-28",
        "last_updated": "2011-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2011; 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.