Active NPI
Virginia Mathis, RPH
- Pharmacist
- Griffin, GA
National Provider Identifier
1669029591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH019661
- Practice address
- 601 S 8TH St
Griffin, GA 30224-4213 - Phone
- (770) 229-6910
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- 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 | RPH019661 | GA | Primary |
Addresses
Primary practice location
601 S 8TH St
Griffin, GA 30224-4213
Mailing address
1312 Yarborough Dr
Peachtree City, GA 30269-3614
Phone (770) 317-0534
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 |
|---|---|---|---|
| RPH019661 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1669029591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 YARBOROUGH DR",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693614",
"telephone_number": "770-317-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S 8TH ST",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302244213",
"telephone_number": "770-229-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "VIRGINIA",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH019661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Griffin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.