Individual provider Active NPI

Christopher Alan Vaughan, PHARMD

  • Pharmacist
  • Eatonton, GA
National Provider Identifier
1730428780
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023681 Issued in GA
Practice address
121 Harmony Xing Ste 3
Eatonton, GA 31024-9573
Phone
(762) 777-7001
Fax
(762) 777-7002
NPI assigned
Feb 12, 2013
Last updated
Jan 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023681 GA Primary

Addresses

Primary practice location

121 Harmony Xing Ste 3
Eatonton, GA 31024-9573

Mailing address

121 Harmony Xing Ste 3
Eatonton, GA 31024-9573
Phone (762) 777-7001

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
RPH023681GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Country Pharmacy LLC CurrentSince Jan 24, 2021 Accepting new patients
Compounding Specialists at Lake Oconee Inc Past Accepting new patients

Locations

121 Harmony Xing
Ste 3
Eatonton, GA 31024
Phone (762) 777-7001

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": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1730428780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 3",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "762-777-7001",
            "fax_number": "762-777-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 HARMONY XING STE 3",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310249573",
            "telephone_number": "762-777-7001",
            "fax_number": "762-777-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAUGHAN",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.