Active NPI
Alexandra Simone McCracken Thompson
- Pharmacist
- Valdosta, GA
National Provider Identifier
1821656562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030997
- Practice address
- 19664 Valdosta Hwy Ste a
Valdosta, GA 31602-8300 - Phone
- (912) 223-6326
- Fax
- (229) 263-5950
- NPI assigned
- May 29, 2019
- 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 | 183500000X | RPH030997 | GA | Primary |
Addresses
Primary practice location
19664 Valdosta Hwy Ste a
Valdosta, GA 31602-8300
Mailing address
302 E Screven St
Quitman, GA 31643-2178
Phone (229) 263-4061
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 |
|---|---|---|---|
| RPH030997 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McRae Drug Company, LLC | Current | Accepting new patients |
Organizations & group practices 1
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
- MC Rae, GA
- NPI 1881420651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1821656562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 E SCREVEN ST",
"city": "QUITMAN",
"state": "GA",
"postal_code": "316432178",
"telephone_number": "229-263-4061",
"fax_number": "229-263-5950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19664 VALDOSTA HWY STE A",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316028300",
"telephone_number": "912-223-6326",
"fax_number": "229-263-5950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ALEXANDRA",
"middle_name": "SIMONE MCCRACKEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.