Individual provider Active NPI

Tressa Pause White, RPH

  • Pharmacist
  • Greensboro, GA
National Provider Identifier
1811234610
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
020126 Issued in GA
Practice address
6350 Lake Oconee Pkwy
Greensboro, GA 30642-6433
Phone
(706) 454-7150
Fax
(706) 454-7145
NPI assigned
Jan 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 020126 GA Primary

Addresses

Primary practice location

6350 Lake Oconee Pkwy
Greensboro, GA 30642-6433

Mailing address

6350 Lake Oconee Pkwy
Greensboro, GA 30642-6433
Phone (706) 454-7150

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

State licenses

LicenseStateTypeSpecialty
020126GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1811234610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426433",
            "telephone_number": "706-454-7150",
            "fax_number": "706-454-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306426433",
            "telephone_number": "706-454-7150",
            "fax_number": "706-454-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TRESSA",
        "middle_name": "PAUSE",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.