Individual provider Active NPI

Andrea Exum Eagle, R.PH.

  • Pharmacist
  • Columbus, GA
National Provider Identifier
1770685679
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019185 Issued in GA
Practice address
1800 Tenth Ave
Family Health Pharmacy
Columbus, GA 31901-7201
Phone
(706) 571-1995
Fax
(706) 571-1781
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17303 AL
Pharmacist 183500000X 019185 GA Primary

Addresses

Primary practice location

1800 Tenth Ave
Family Health Pharmacy
Columbus, GA 31901-7201

Mailing address

6888 Ranch Forest Dr
Columbus, GA 31904-2429
Phone (706) 681-6126

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

State licenses

LicenseStateTypeSpecialty
17303ALMDPharmacist
019185GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1770685679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 RANCH FOREST DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042429",
            "telephone_number": "706-681-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TENTH AVE",
            "address_2": "FAMILY HEALTH PHARMACY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319017201",
            "telephone_number": "706-571-1995",
            "fax_number": "706-571-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "ANDREA",
        "middle_name": "EXUM",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "17303",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.