Active NPI
Vicenta R Turner
- Pharmacy Technician
- Gainesville, GA
National Provider Identifier
1811030711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 170101721768118
- Practice address
- 1079 Jesse Jewell Pkwy SW
Gainesville, GA 30501-6103 - Phone
- (770) 536-3108
- Fax
- (770) 536-2357
- NPI assigned
- Feb 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 170101721768118 | GA | Primary |
Addresses
Primary practice location
1079 Jesse Jewell Pkwy SW
Gainesville, GA 30501-6103
Mailing address
1079 Jesse Jewell Pkwy SW
Gainesville, GA 30501-6103
Phone (770) 536-3108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170101721768118 | Other | GA | STATE CERTIFICATION |
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 |
|---|---|---|---|
| 170101721768118 | GA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mimbs Drug Co. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pharmacy
- Gainesville, GA
- NPI 1700863347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811030711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 JESSE JEWELL PKWY SW",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305016103",
"telephone_number": "770-536-3108",
"fax_number": "770-536-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 JESSE JEWELL PKWY SW",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305016103",
"telephone_number": "770-536-3108",
"fax_number": "770-536-2357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "VICENTA",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "GA",
"license": "170101721768118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CERTIFICATION",
"identifier": "170101721768118",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.