Individual provider Active NPI

Sherita Latoya Flournoy, PHARM D

  • Pharmacist
  • Martinez, GA
National Provider Identifier
1609476258
Registry record updated Oct 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025648 Issued in GA
Practice address
3851 Evans to Locks Rd
Martinez, GA 30907-5073
Phone
(706) 941-5857
Fax
(706) 941-5858
NPI assigned
Oct 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH025648 GA Primary

Addresses

Primary practice location

3851 Evans to Locks Rd
Martinez, GA 30907-5073

Mailing address

2781 Huntcliffe Dr
Augusta, GA 30909-0662
Phone (478) 718-0465

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
RPH025648GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604102400000",
    "number": "1609476258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 HUNTCLIFFE DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090662",
            "telephone_number": "478-718-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 EVANS TO LOCKS RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075073",
            "telephone_number": "706-941-5857",
            "fax_number": "706-941-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOURNOY",
        "first_name": "SHERITA",
        "middle_name": "LATOYA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; 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.