Individual provider Active NPI

Ralph Clayton Alley, R.PH.

  • Pharmacist
  • Flowery Branch, GA
National Provider Identifier
1639298607
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0011768 Issued in GA
Practice address
5915 Spout Springs Rd
Flowery Branch, GA 30542-4005
Phone
(770) 967-1664
Fax
(770) 967-1955
NPI assigned
Mar 28, 2007
Last updated
Oct 15, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0011768 GA Primary

Addresses

Primary practice location

5915 Spout Springs Rd
Flowery Branch, GA 30542-4005

Mailing address

6117 Allee Way
Braselton, GA 30517-6033
Phone (770) 364-2812

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
0011768GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1639298607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 ALLEE WAY",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305176033",
            "telephone_number": "770-364-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 SPOUT SPRINGS RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305424005",
            "telephone_number": "770-967-1664",
            "fax_number": "770-967-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEY",
        "first_name": "RALPH",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "0011768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.