Kelli Bass McCarty, PHARMD
Individual provider Active NPI Pharmacist · Madison, GA
NPI 1609007632 · NPPES record last updated Jul 11, 2016
Key facts
- NPI
- 1609007632
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-022020 (GA)
- Practice address
- 218 S Main St
Madison, GA 30650-1303 - Phone
- (706) 342-4141
- Fax
- (706) 342-3297
- NPI assigned
- Aug 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-022020 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Drug LLC | Pharmacist | Current | Accepting new patients |
| Madison Drug, LLC | Current | Accepting new patients | |
| Thrifty Mac Discount Drugs, Inc | Past | Accepting new patients | |
| Thrifty Mac Discount Drugs, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-022020 | GA | Yes |
Addresses
Primary practice location
218 S Main St
Madison, GA 30650-1303
Mailing address
218 S Main St
Madison, GA 30650-1303
Phone (706) 342-4141
Other providers in Madison, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.