Individual provider Active NPI

Nan M Hall, R.PH.

  • Pharmacist
  • Calhoun, GA
National Provider Identifier
1821174103
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH013225 Issued in GA
Practice address
1042 Red Bud Rd NE
Calhoun, GA 30701-2081
Phone
(706) 629-9139
Fax
(706) 629-9080
NPI assigned
Oct 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH013225 GA Primary

Addresses

Primary practice location

1042 Red Bud Rd NE
Calhoun, GA 30701-2081

Mailing address

105 Colonial Way NE
Calhoun, GA 30701-4730
Phone (706) 629-9702

Other identifiers 1

IdentifierTypeStateIssuer
RPH013225OtherGAPHARMACIST LICENCE

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
RPH013225GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescription Shop Inc PastSince Nov 28, 2021 Accepting new patients
Prescription Shop Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821174103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 COLONIAL WAY NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307014730",
            "telephone_number": "706-629-9702",
            "fax_number": "706-629-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 RED BUD RD NE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307012081",
            "telephone_number": "706-629-9139",
            "fax_number": "706-629-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "NAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH013225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENCE",
            "identifier": "RPH013225",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun, 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.

Verify at the official NPI Registry.