Individual provider Active NPI

Macy Salter Sepulveda

  • Pharmacist
  • Evans, GA
National Provider Identifier
1669076832
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032370 Issued in GA
Practice address
4469 Washington Rd
Evans, GA 30809-3807
Phone
(706) 854-1540
NPI assigned
Nov 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032370 GA Primary

Addresses

Primary practice location

4469 Washington Rd
Evans, GA 30809-3807

Mailing address

4469 Washington Rd
Evans, GA 30809-3807
Phone (706) 854-1540

Other practice location 1

2205 Harrison Rd SE
Thomson, GA 30824-7455
Phone (706) 595-0180

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

State licenses

LicenseStateTypeSpecialty
032370GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1669076832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093807",
            "telephone_number": "706-854-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 WASHINGTON RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093807",
            "telephone_number": "706-854-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Harrison Rd SE",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308247455",
            "country_code": "US",
            "telephone_number": "706-595-0180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "MACY",
        "middle_name": "SALTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "032370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.