Individual provider Active NPI

Alexandra Simone McCracken Thompson

  • Pharmacist
  • Valdosta, GA
National Provider Identifier
1821656562
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH030997 Issued in GA
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

Updated by the provider on May 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RPH030997GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.