Active NPI
Cecelia Cannon Pruitt, RPH
- Pharmacist
- Hoschton, GA
National Provider Identifier
1760663769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16443
- Practice address
- 86 Cole PT
Hoschton, GA 30548-4341 - Phone
- (706) 658-0124
- NPI assigned
- Nov 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16443 | GA | Primary |
Addresses
Primary practice location
86 Cole PT
Hoschton, GA 30548-4341
Mailing address
86 Cole PT
Hoschton, GA 30548-4341
Phone (706) 658-0124
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
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195344000000",
"number": "1760663769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 COLE PT",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305484341",
"telephone_number": "706-658-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 COLE PT",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305484341",
"telephone_number": "706-658-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRUITT",
"first_name": "CECELIA",
"middle_name": "CANNON",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-18",
"last_updated": "2007-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoschton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.