Active NPI
Andre Villiers
- Pharmacist
- Covington, GA
National Provider Identifier
1609548023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033303
- Practice address
- 75 Mote Crossing Rd
Covington, GA 30016-5253 - Phone
- (770) 710-1342
- NPI assigned
- Oct 4, 2021
- Last updated
- Oct 4, 2021
- 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 | RPH033303 | GA | Primary |
Addresses
Primary practice location
75 Mote Crossing Rd
Covington, GA 30016-5253
Mailing address
75 Mote Crossing Rd
Covington, GA 30016-5253
Phone (770) 710-1342
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033303 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1609548023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 MOTE CROSSING RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300165253",
"telephone_number": "770-710-1342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 MOTE CROSSING RD",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300165253",
"telephone_number": "770-710-1342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLIERS",
"first_name": "ANDRE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covington, GA
- Maureen Frances Vidrine, APRN-PMH
- View Point Health
- View Point Health
- View Point Health
- Village Podiatry Group LLC
- Jessica Hinton Vincent, DNP, ACNP-BC
- Mohabe Anthony Vinson, MD
- Waals Medical Suppy and Equipment
- Wal-Mart Stores East LP (WalMart Pharmacy 10-4558)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0459)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.