Active NPI
Timothy Prator, RPH
- Pharmacist
- Augusta, GA
National Provider Identifier
1710600911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 016919
- Practice address
- CVS 2703 Washington Rd
Augusta, GA 30909 - Phone
- (706) 737-4939
- NPI assigned
- Sep 22, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 016919 | GA | Primary |
Addresses
Primary practice location
CVS 2703 Washington Rd
Augusta, GA 30909
Mailing address
3006 Haseley CT
Grovetown, GA 30813-5884
Phone (706) 829-3796
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 |
|---|---|---|---|
| 016919 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1710600911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 HASELEY CT",
"city": "GROVETOWN",
"state": "GA",
"postal_code": "308135884",
"telephone_number": "706-829-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CVS 2703 WASHINGTON RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "30909",
"telephone_number": "706-737-4939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATOR",
"first_name": "TIMOTHY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "016919",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.