Active NPI
Justin Poarch, R.P.H.
- Pharmacist
- Dalton, GA
National Provider Identifier
1639628399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR46215
- Practice address
- 1320 Cleveland Hwy
Dalton, GA 30721-8637 - Phone
- (706) 272-9346
- NPI assigned
- Sep 22, 2016
- 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 | PR46215 | ME | Primary |
Addresses
Primary practice location
1320 Cleveland Hwy
Dalton, GA 30721-8637
Mailing address
1320 Cleveland Hwy
Dalton, GA 30721-8637
Phone (706) 272-9346
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
| License | State | Type | Specialty |
|---|---|---|---|
| PR46215 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671753600000",
"number": "1639628399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CLEVELAND HWY",
"city": "DALTON",
"state": "GA",
"postal_code": "307218637",
"telephone_number": "706-272-9346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CLEVELAND HWY",
"city": "DALTON",
"state": "GA",
"postal_code": "307218637",
"telephone_number": "706-272-9346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POARCH",
"first_name": "JUSTIN",
"credential": "R.P.H.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-22",
"last_updated": "2022-12-23",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR46215",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.