Individual provider Active NPI

Kelli Bass McCarty, PHARMD

  • Pharmacist
  • Madison, GA
National Provider Identifier
1609007632
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH-022020 Issued in GA
Practice address
218 S Main St
Madison, GA 30650-1303
Phone
(706) 342-4141
Fax
(706) 342-3297
NPI assigned
Aug 8, 2009
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH-022020 GA Primary

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

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

LicenseStateTypeSpecialty
RPH-022020GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Nov 9, 2021 Accepting new patients

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": "1249689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1609007632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501303",
            "telephone_number": "706-342-4141",
            "fax_number": "706-342-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 S MAIN ST",
            "city": "MADISON",
            "state": "GA",
            "postal_code": "306501303",
            "telephone_number": "706-342-4141",
            "fax_number": "706-342-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "KELLI",
        "middle_name": "BASS",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-08",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH-022020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.