Active NPI
Brian Bridges
- Pharmacist
- Hazlehurst, GA
National Provider Identifier
1801518212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028186
- Practice address
- 38 S Tallahassee St Ste 1
Hazlehurst, GA 31539-6260 - Phone
- (912) 375-2545
- Fax
- (912) 375-0632
- NPI assigned
- Sep 13, 2022
- Last updated
- Oct 3, 2022
- Sex
- Male
- 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 | RPH028186 | GA | Primary |
Addresses
Primary practice location
38 S Tallahassee St Ste 1
Hazlehurst, GA 31539-6260
Mailing address
38 S Tallahassee St Ste 1
Hazlehurst, GA 31539-6260
Phone (912) 375-2545
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 |
|---|---|---|---|
| RPH028186 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hardies Drug Store Inc | Community/Retail Pharmacy | Current | Accepting new patients |
Locations
38 S Tallahassee St
Ste 1
Hazlehurst, GA 31539
Phone (912) 375-2545
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1801518212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38 S TALLAHASSEE ST STE 1",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396260",
"telephone_number": "912-375-2545",
"fax_number": "912-375-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38 S TALLAHASSEE ST STE 1",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396260",
"telephone_number": "912-375-2545",
"fax_number": "912-375-0632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-13",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.