Active NPI
Bela Palmer
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Canton, GA
National Provider Identifier
1811527765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 018798
- Practice address
- 6766 Hickory Flat Hwy
Canton, GA 30115-9224 - Phone
- (770) 721-7310
- Fax
- (770) 721-7315
- NPI assigned
- Jan 20, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 018798 | GA | Primary |
Addresses
Primary practice location
6766 Hickory Flat Hwy
Canton, GA 30115-9224
Mailing address
2264 Seatton CT
Marietta, GA 30062-8606
Phone (678) 467-7639
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 |
|---|---|---|---|
| 018798 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
-
- Community/Retail Pharmacy
- Canton, GA
- NPI 1508019472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1811527765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2264 SEATTON CT",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300628606",
"telephone_number": "678-467-7639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6766 HICKORY FLAT HWY",
"city": "CANTON",
"state": "GA",
"postal_code": "301159224",
"telephone_number": "770-721-7310",
"fax_number": "770-721-7315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "BELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "018798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.