Active NPI
Render Terrell Parham Jr., RPH
- Pharmacist
- Forsyth, GA
National Provider Identifier
1679606925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH010268
- Practice address
- 180 N Lee St
Forsyth, GA 31029-2122 - Phone
- (478) 994-6005
- Fax
- (478) 994-6005
- NPI assigned
- Mar 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH010268 | GA | Primary |
| Pharmacist | 183500000X | 10447 | AL |
Addresses
Primary practice location
180 N Lee St
Forsyth, GA 31029-2122
Mailing address
2142 Fair Ridge CT
Jonesboro, GA 30236-7401
Phone (770) 377-1346
Other names 1
- Mr. R Terrell Parham Jr.
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 |
|---|---|---|---|
| 10447 | AL | MD | Pharmacist |
| RPH010268 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Walmart Pharmacy 10-0907
- Community/Retail Pharmacy
- Forsyth, GA
- NPI 1386661619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1679606925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2142 FAIR RIDGE CT",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302367401",
"telephone_number": "770-377-1346",
"fax_number": "770-473-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N LEE ST",
"city": "FORSYTH",
"state": "GA",
"postal_code": "310292122",
"telephone_number": "478-994-6005",
"fax_number": "478-994-6005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARHAM",
"first_name": "RENDER",
"middle_name": "TERRELL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH010268",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10447",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R TERRELL",
"last_name": "PARHAM",
"prefix": "MR.",
"suffix": "JR.",
"credential": "RPH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Forsyth, GA
- Jeffery Zack Murdock, PHARM.D., R.PH.
- Nursing Home Specialists, L.L.C.
- Obgyne Birth Center for Natural Deliveries
- Chelsia Celeste Ogletree, CD
- Optimize Pelvic Health & Wellness, LLC
- Bhargav Patel, PHARMD.
- Pavankumar K Patel, NURSE PRACTITIONER
- Peachy Speechworks of Central Ga
- Thomas Bush Perry, O.D.
- Dana A Peterman, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.