Sophia McKenzie

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH034088 Issued in GA

Practice address

2619 Laurel Woods LN SE
Conyers, GA 30094-2562

Phone

(561) 667-7819

NPI assigned

Dec 12, 2022

Last updated

Dec 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1811608615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 LAUREL WOODS LN SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300942562",
            "telephone_number": "561-667-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 LAUREL WOODS LN SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300942562",
            "telephone_number": "561-667-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "SOPHIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH034088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "2619 Laurel Woods Ln SE",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300942562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leondus Samuel McIver, MD
• Victoria McIver
• Megan Jean McKee, M.D.
• Camille McKenzie
• Kemberly Elaine McKenzie, APC
• Camille Patrice McLean, M.D.
• Juan Nicolas McLean, MD
• Heike McMillan, LPC
• Sukari J McMiller, DDS
• McMurray Enterprises Inc. Dba Care Solutions

• Pharmacist in Conyers, GA
• Providers in Conyers, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.

Verify at the official NPI Registry.