Active NPI
Kevin Alexander Eason
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Douglasville, GA
National Provider Identifier
1780218396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH029887
- Practice address
- 8501 Hospital Dr
Douglasville, GA 30134-2414 - Phone
- (770) 949-3529
- NPI assigned
- Feb 24, 2020
- Sex
- Male
- Sole proprietor
- No
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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH029887 | GA | Primary |
Addresses
Primary practice location
8501 Hospital Dr
Douglasville, GA 30134-2414
Mailing address
8501 Hospital Dr
Douglasville, GA 30134-2414
Phone (770) 949-3529
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH029887 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Locations
134 Banks Xing
Fayetteville, GA 30214
Phone (770) 401-2312
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Fayetteville, GA
- NPI 1023033701
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
-
- Community/Retail Pharmacy
- Douglasville, GA
- NPI 1124043906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783641600000",
"number": "1780218396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8501 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342414",
"telephone_number": "770-949-3529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8501 HOSPITAL DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301342414",
"telephone_number": "770-949-3529"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASON",
"first_name": "KEVIN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-24",
"last_updated": "2026-07-10",
"certification_date": "2026-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH029887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.