Ephym Freeman Bagwell, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

8967 Issued in GA

Practice address

5100 River Rd
Columbus, GA 31904-5841

Phone

(706) 317-2583

Fax

(706) 317-2587

NPI assigned

Jan 30, 2008

Last updated

Jan 30, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Road Pharmacy

  • Community/Retail Pharmacy
  • Columbus, GA
  • NPI 1285728329
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201651200000",
    "number": "1780861872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045841",
            "telephone_number": "706-317-2583",
            "fax_number": "706-317-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 RIVER RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045841",
            "telephone_number": "706-317-2583",
            "fax_number": "706-317-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "EPHYM",
        "middle_name": "FREEMAN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie H Bacon, LPN
• Maxim Badea, NP
• Roberta Badillo, LSW, LGSW
• Kelly Baez
• Tamika Baggage
• Kimberly Bagwell, FNP-C
• Bernice Tolbert Baharanyi, MSW, LCSW
• Lachmi Bai
• Kimberly Jill Baier, CRNA
• Claire Bailey, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.