Active NPI
Stella Griffin, PHARMD, MBA
- Pharmacist
- Griffin, GA
National Provider Identifier
1689905663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022754
- Practice address
- 1602 N Expressway
Griffin, GA 30223-1269 - Phone
- (770) 227-3397
- NPI assigned
- Jan 15, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS44778 | FL | |
| Pharmacist | 183500000X | 33522 | TN | |
| Pharmacist | 183500000X | RPH022754 | GA | Primary |
Addresses
Primary practice location
1602 N Expressway
Griffin, GA 30223-1269
Mailing address
1602 N Expressway
Griffin, GA 30223-1269
Phone (770) 227-3397
Other practice location 1
6239 Turner Lake Rd NW
Covington, GA 30014-2064
Phone (770) 787-8292
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
- Master of Business Administration, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS44778 | FL | MD | Pharmacist |
| RPH022754 | GA | MD | Pharmacist |
| 33522 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1602 N Expressway
Griffin, GA 30223
Phone (770) 227-3397
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1689905663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 N EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302231269",
"telephone_number": "770-227-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 N EXPRESSWAY",
"city": "GRIFFIN",
"state": "GA",
"postal_code": "302231269",
"telephone_number": "770-227-3397"
}
],
"practiceLocations": [
{
"address_1": "6239 Turner Lake Rd NW",
"address_purpose": "LOCATION",
"city": "Covington",
"state": "GA",
"postal_code": "300142064",
"country_code": "US",
"telephone_number": "770-787-8292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRIFFIN",
"first_name": "STELLA",
"name_prefix": "Dr.",
"credential": "PHARMD, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44778",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33522",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022754",
"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 Dec 22, 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.