Stacy Melody Folsom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH020044 Issued in GA

Practice address

641 Veterans Pkwy S
Moultrie, GA 31788-8843

Phone

(229) 985-6850

Fax

(229) 985-9421

NPI assigned

Nov 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1740882414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3559 ANTIOCH GREGGS RD",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316209647",
            "telephone_number": "229-891-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 VETERANS PKWY S",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317888843",
            "telephone_number": "229-985-6850",
            "fax_number": "229-985-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLSOM",
        "first_name": "STACY",
        "middle_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Fields, NP-C
• First Choice Women'S Care PC
• Katelyn Fletcher, SLP
• Shelby McCoy Flowers, DO
• Lori M Folsom, NP
• Sawyer Foss, LAT, ATC
• Gwendolyn Patrice Fowler
• Francis M. Kundi, MD, PC
• Jack Edward Funderburk
• Kylie Cotton Gantt, NP

• Pharmacist in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.