Active NPI
Crystal Wingfield, PHARMD
- Pharmacist
- Athens, GA
National Provider Identifier
1629678610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021232
- Practice address
- 4365 Atlanta Hwy
Athens, GA 30606-0808 - Phone
- (706) 548-1913
- Fax
- (706) 548-2481
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- 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 | 021232 | GA | Primary |
Addresses
Primary practice location
4365 Atlanta Hwy
Athens, GA 30606-0808
Mailing address
4365 Atlanta Hwy
Athens, GA 30606-0808
Phone (706) 548-1913
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
| License | State | Type | Specialty |
|---|---|---|---|
| 021232 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sams East Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Athens, GA
- NPI 1285651521
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1629678610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 ATLANTA HWY",
"city": "ATHENS",
"state": "GA",
"postal_code": "306060808",
"telephone_number": "706-548-1913",
"fax_number": "706-548-2481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4365 ATLANTA HWY",
"city": "ATHENS",
"state": "GA",
"postal_code": "306060808",
"telephone_number": "706-548-1913",
"fax_number": "706-548-2481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINGFIELD",
"first_name": "CRYSTAL",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "021232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.