Active NPI
Thomas Judson Andrew Ott, PHARMD
- Pharmacist
- Tifton, GA
National Provider Identifier
1578061263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029965
- Practice address
- 602 Virginia Ave N
Tifton, GA 31794-4245 - Phone
- (229) 386-1171
- NPI assigned
- Jan 26, 2018
- 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 | RPH029965 | GA | Primary |
Addresses
Primary practice location
602 Virginia Ave N
Tifton, GA 31794-4245
Mailing address
602 Virginia Ave N
Tifton, GA 31794-4245
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029965 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1578061263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 VIRGINIA AVE N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 VIRGINIA AVE N",
"city": "TIFTON",
"state": "GA",
"postal_code": "317944245",
"telephone_number": "229-386-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTT",
"first_name": "THOMAS",
"middle_name": "JUDSON ANDREW",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tifton, GA
- Open MRI of Tifton LLC
- Caylor Mark Orr, DMD
- Orthopedic and Sports Physical Therapy, Inc.
- Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia)
- Orthopedic Surgeons of Georgia, LLC (Optim Pain Management - Tifton)
- Suzie Vu Pace, DO
- Palmetto Health Care Group LLC
- Palmetto Hospice and Palliative, LLC
- Matthew William Pantsari, M.D.
- Jeremy Paradice, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.