Active NPI
Abraham Jacob Duncan, PHARM D
- Pharmacist
- Clayton, GA
National Provider Identifier
1689971780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13104
- Practice address
- 355 Highway 441 S
Clayton, GA 30525-5454 - Phone
- (706) 212-0581
- NPI assigned
- Feb 25, 2011
- Last updated
- Feb 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | 13104 | SC | Primary |
| Pharmacist | 183500000X | RPH025609 | GA |
Addresses
Primary practice location
355 Highway 441 S
Clayton, GA 30525-5454
Mailing address
3672 Jot Em Down Rd
Danielsville, GA 30633-1908
Phone (706) 980-5165
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025609 | GA | MD | Pharmacist |
| 13104 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, 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": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1689971780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3672 JOT EM DOWN RD",
"city": "DANIELSVILLE",
"state": "GA",
"postal_code": "306331908",
"telephone_number": "706-980-5165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 HIGHWAY 441 S",
"city": "CLAYTON",
"state": "GA",
"postal_code": "305255454",
"telephone_number": "706-212-0581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "ABRAHAM",
"middle_name": "JACOB",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13104",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025609",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.