Active NPI
Nathaniel Steven Swanson, PHARMACIST
- Pharmacist
- Augusta, GA
National Provider Identifier
1568802023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027186
- Practice address
- 3204 Peach Orchard Rd
Augusta, GA 30906-4862 - Phone
- (706) 796-7240
- NPI assigned
- Jun 28, 2013
- Last updated
- Jun 28, 2013
- Sex
- Male
- 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 | RPH027186 | GA | Primary |
Addresses
Primary practice location
3204 Peach Orchard Rd
Augusta, GA 30906-4862
Mailing address
453 Sweet Apple LN
Buford, GA 30518-1667
Phone (770) 633-1933
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH027186 | Other | GA | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027186 | 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": "1372377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372377600000",
"number": "1568802023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 SWEET APPLE LN",
"city": "BUFORD",
"state": "GA",
"postal_code": "305181667",
"telephone_number": "770-633-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 PEACH ORCHARD RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309064862",
"telephone_number": "706-796-7240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "NATHANIEL",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-28",
"last_updated": "2013-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RPH027186",
"state": "GA"
}
],
"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 Jun 28, 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.