Rebecca A Augustin, PHARMD
Individual provider Active NPI Pharmacist · Cartersville, GA
NPI 1720814965 · NPPES record last updated Sep 13, 2024
Key facts
- NPI
- 1720814965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 035101 (GA)
- Practice address
- 965 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2130 - Phone
- (678) 721-1090
- NPI assigned
- Sep 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035101 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035101 | GA | Yes |
Addresses
Primary practice location
965 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2130
Mailing address
965 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2130
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.