Active NPI
Patrick Shane Flanagan, PHARM. D.
- Pharmacist
- Chatsworth, GA
National Provider Identifier
1598360570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH027089
- Practice address
- 1101 N 3Rd Ave
Chatsworth, GA 30705-2025 - Phone
- (706) 517-1354
- NPI assigned
- Nov 30, 2020
- Last updated
- Mar 1, 2023
- 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 | RPH027089 | GA | Primary |
Addresses
Primary practice location
1101 N 3Rd Ave
Chatsworth, GA 30705-2025
Mailing address
887 Battlefield Pkwy
Fort Oglethorpe, GA 30742-3900
Phone (706) 861-3337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Other | NONE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Unknown |
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 |
|---|---|---|---|
| RPH027089 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients | |
| Georgia CVS Pharmacy LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1101 N 3rd Ave
Chatsworth, GA 30705
Phone (706) 517-1354
Organizations & group practices 4
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": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1598360570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "887 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307423900",
"telephone_number": "706-861-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 N 3RD AVE",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "307052025",
"telephone_number": "706-517-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "PATRICK",
"middle_name": "SHANE",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-30",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH027089",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NONE",
"identifier": "NONE",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Unknown",
"affiliation": "N",
"address_1": "887 Battlefield Pkwy",
"city": "Fort Oglethorpe",
"state": "GA",
"country_code": "US",
"postal_code": "307423900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chatsworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.