Active NPI
Joel Maddox II
- Pharmacist
- McDonough, GA
National Provider Identifier
1629352638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12754
- Practice address
- 896 Highway 81 E
McDonough, GA 30252-2914 - Phone
- (770) 954-9323
- NPI assigned
- Oct 10, 2011
- 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 | 12754 | GA | Primary |
Addresses
Primary practice location
896 Highway 81 E
McDonough, GA 30252-2914
Mailing address
896 Hwy 81 E
McDonough, GA 30252
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318204800000",
"number": "1629352638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "896 HWY 81 E",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "30252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "896 HIGHWAY 81 E",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302522914",
"telephone_number": "770-954-9323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADDOX",
"first_name": "JOEL",
"name_suffix": "II",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2011-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "12754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
- Luxottica Retail North America Inc (Target Optical #C4310)
- LWHC
- M&G Lewis Logistics LLC
- Macon Eyecare Associates Inc (McDonough Family EyeCare)
- Maddox Pharmacy Inc (Ward Drug Company)
- Tajamyah Maddox
- Carrie L Madej, DO
- Margaret Strickland Maguire, APRN, FNP-C
- Tonya Renee Mallory, RN
- Yolanda Malone-Gilbert, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.