Active NPI
Gina Catherine Nussbaumer, PHARM.D
- Pharmacist
- Columbus, GA
National Provider Identifier
1821366311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024630
- Practice address
- 3700 Macon Rd
Columbus, GA 31907-2248 - Phone
- (706) 568-6878
- Fax
- (706) 568-6639
- NPI assigned
- Dec 12, 2011
- Last updated
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024630 | GA | Primary |
| Pharmacist | 183500000X | PHA18156 | CO |
Addresses
Primary practice location
3700 Macon Rd
Columbus, GA 31907-2248
Mailing address
7401 Blackmon Rd
Apt 2203
Columbus, GA 31909-4489
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHA18156 | CO | MD | Pharmacist |
| RPH024630 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1821366311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 BLACKMON RD",
"address_2": "APT 2203",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319094489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 MACON RD",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319072248",
"telephone_number": "706-568-6878",
"fax_number": "706-568-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUSSBAUMER",
"first_name": "GINA",
"middle_name": "CATHERINE",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024630",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA18156",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.