Active NPI
Joe Perkins Barge, PHARMACIST
- Pharmacist
- Albany, GA
National Provider Identifier
1629104948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH009867
- Practice address
- 200 E Oakridge Dr
Albany, GA 31705-3676 - Phone
- (229) 434-4684
- Fax
- (229) 432-5560
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH009867 | GA | Primary |
Addresses
Primary practice location
200 E Oakridge Dr
Albany, GA 31705-3676
Mailing address
4551 Sassafras Tea Rd
Camilla, GA 31730-5921
Phone (229) 336-7794
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 |
|---|---|---|---|
| RPH009867 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629104948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4551 SASSAFRAS TEA RD",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317305921",
"telephone_number": "229-336-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E OAKRIDGE DR",
"city": "ALBANY",
"state": "GA",
"postal_code": "317053676",
"telephone_number": "229-434-4684",
"fax_number": "229-432-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARGE",
"first_name": "JOE",
"middle_name": "PERKINS",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH009867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.