Active NPI
Jay Perdue, PHARM D
- Pharmacist
- Savannah, GA
National Provider Identifier
1831790310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025493
- Practice address
- 14030 Abercorn St
Savannah, GA 31419-1935 - Phone
- (912) 344-9664
- NPI assigned
- Nov 3, 2020
- Sex
- Male
- 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 | RPH025493 | GA | Primary |
Addresses
Primary practice location
14030 Abercorn St
Savannah, GA 31419-1935
Mailing address
350 Bryan Fishermans Coop Rd
Richmond Hill, GA 31324-9205
Phone (706) 580-7055
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 |
|---|---|---|---|
| RPH025493 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1831790310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 BRYAN FISHERMANS COOP RD",
"city": "RICHMOND HILL",
"state": "GA",
"postal_code": "313249205",
"telephone_number": "706-580-7055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14030 ABERCORN ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191935",
"telephone_number": "912-344-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERDUE",
"first_name": "JAY",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-03",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.