James Rudolph Elmore, PHARMACIST
Individual provider Active NPI Pharmacist · Hapeville, GA
NPI 1730375296 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1730375296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH010421 (GA)
- Practice address
- 535 N Central Ave
Hapeville, GA 30354-1603 - Phone
- (404) 761-4040
- Fax
- (404) 761-4008
- NPI assigned
- Sep 19, 2007
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH010421 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH010421 | GA | Yes |
Addresses
Primary practice location
535 N Central Ave
Hapeville, GA 30354-1603
Mailing address
535 N Central Ave
Hapeville, GA 30354-1603
Phone (404) 761-4040
Other providers in Hapeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. 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.