Individual provider Active NPI

John Colquitt Logan Jr., PHARM D.

  • Pharmacist
  • Columbus, GA
National Provider Identifier
1649458035
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016520 Issued in GA
Practice address
1163 27TH St
Columbus, GA 31904-8614
Phone
(706) 322-8211
Fax
(706) 324-3649
NPI assigned
Feb 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016520 GA Primary
Pharmacist 183500000X 11899 AL

Addresses

Primary practice location

1163 27TH St
Columbus, GA 31904-8614

Mailing address

1163 27TH St
Columbus, GA 31904-8614
Phone (706) 322-8211

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

LicenseStateTypeSpecialty
11899ALMDPharmacist
016520GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumpkin Drugs 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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1649458035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 27TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048614",
            "telephone_number": "706-322-8211",
            "fax_number": "706-324-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 27TH ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048614",
            "telephone_number": "706-322-8211",
            "fax_number": "706-324-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "JOHN",
        "middle_name": "COLQUITT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "016520",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11899",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.