Individual provider Active NPI

Ruth Wilmine Pierre, PHARMD

  • Pharmacist
  • Union City, GA
National Provider Identifier
1720819709
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH034618 Issued in GA
Practice address
3940 Jonesboro Rd
Union City, GA 30291-2258
Phone
(770) 774-1161
Fax
(770) 774-4461
NPI assigned
Aug 12, 2024
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH034618 GA Primary

Addresses

Primary practice location

3940 Jonesboro Rd
Union City, GA 30291-2258

Mailing address

3940 Jonesboro Rd
Union City, GA 30291-2258
Phone (770) 774-1161

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

LicenseStateTypeSpecialty
RPH034618GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia CVS Pharmacy, L.L.C. PastSince Aug 18, 2024 Accepting new patients
Georgia CVS Pharmacy L.L.C PastSince Aug 18, 2024 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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1720819709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 JONESBORO RD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912258",
            "telephone_number": "770-774-1161",
            "fax_number": "770-774-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 JONESBORO RD",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912258",
            "telephone_number": "770-774-1161",
            "fax_number": "770-774-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "RUTH",
        "middle_name": "WILMINE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.