Individual provider Active NPI

Lorelei Mercedes Charters, RPH

  • Pharmacist
  • Garden City, GA
National Provider Identifier
1790077170
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
016448 Issued in GA
Practice address
516 W Hwy 80
Garden City, GA 31408-3108
Phone
(912) 966-1416
Fax
(912) 966-1417
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016448 GA Primary

Addresses

Primary practice location

516 W Hwy 80
Garden City, GA 31408-3108

Mailing address

PO Box 7709
Garden City, GA 31418-7709
Phone (912) 966-1416

Other identifiers 1

IdentifierTypeStateIssuer
016448OtherGASTATE LICENSE NUMBER

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1790077170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7709",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314187709",
            "telephone_number": "912-966-1416",
            "fax_number": "912-966-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W HWY 80",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314083108",
            "telephone_number": "912-966-1416",
            "fax_number": "912-966-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTERS",
        "first_name": "LORELEI",
        "middle_name": "MERCEDES",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "016448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "016448",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.