Individual provider Active NPI

Aubree Michelle Justus Banda, PHARMD

  • Pharmacist
  • Augusta, GA
National Provider Identifier
1659095628
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH033741 Issued in GA
Practice address
235 Robert C Daniel Jr Pkwy
Augusta, GA 30909-0800
Phone
(706) 733-3011
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 43536 SC
Pharmacist 183500000X RPH033741 GA Primary

Addresses

Primary practice location

235 Robert C Daniel Jr Pkwy
Augusta, GA 30909-0800

Mailing address

914 Main St
Jackson, SC 29831-2631
Phone (803) 341-1411

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aubreejustus@yahoo.com

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
RPH033741GAMDPharmacist
43536SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1659095628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 MAIN ST",
            "city": "JACKSON",
            "state": "SC",
            "postal_code": "298312631",
            "telephone_number": "803-341-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 ROBERT C DANIEL JR PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090800",
            "telephone_number": "706-733-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDA",
        "first_name": "AUBREE",
        "middle_name": "MICHELLE JUSTUS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "43536",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aubreejustus@yahoo.com",
            "affiliation": "N",
            "address_1": "235 Robert C Daniel Jr Pkwy",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309090800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.

Verify at the official NPI Registry.