Angela Maria McBride, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH031080 Issued in GA

Practice address

6065 Jonesboro Rd
Morrow, GA 30260-1168

Phone

(770) 968-0660

NPI assigned

Apr 7, 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

Other names 1

• Angela Maria Pruitt Former name

Electronic endpoints 1

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1760011183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302601168",
            "telephone_number": "770-968-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "ANGELA",
        "middle_name": "MARIA",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "amp00dl.s01047.us@wal-mart.com",
            "affiliation": "N",
            "address_1": "6065 Jonesboro Rd",
            "city": "Morrow",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302601168",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "PRUITT",
            "middle_name": "MARIA",
            "credential": "PHARM D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Masi, ATC
• Terry Lynn Mathews
• Brittany Zania Mathis
• Marlo Demetra Mathis, D.MIN, MA, LPC
• Muktak Mathur, M.D.
• Melissa McCarthy
• Darryal Donerlson McCullough, DDS
• Mark McElhannon, M.D.
• Susan Kathleen McIntire, PAAA
• Amanda McKendrick

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.