Individual provider Active NPI

Jean-Maurice Guilbaud, PHARM.D.

  • Pharmacist
  • Milton, GA
National Provider Identifier
1750383501
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH019676 Issued in GA
Practice address
1003 Colonnade Way
Milton, GA 30004-8248
Phone
(404) 936-1677
Fax
(404) 851-8610
NPI assigned
Aug 11, 2005
Last updated
Jan 2, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH019676 GA Primary

Addresses

Primary practice location

1003 Colonnade Way
Milton, GA 30004-8248

Mailing address

1003 Colonnade Way
Milton, GA 30004-8248
Phone (404) 936-1677

Other names 1

  • Maurice Guilbaud Other name

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
RPH019676GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1750383501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 COLONNADE WAY",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048248",
            "telephone_number": "404-936-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 COLONNADE WAY",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300048248",
            "telephone_number": "404-936-1677",
            "fax_number": "404-851-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBAUD",
        "first_name": "JEAN-MAURICE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURICE",
            "last_name": "GUILBAUD",
            "credential": "PHARM. D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Milton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.