Winifred Patricia Bird, RPH
Individual provider Active NPI Pharmacist · Elberton, GA
NPI 1851706063 · NPPES record last updated Jun 25, 2014
Key facts
- NPI
- 1851706063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011371 (GA)
- Practice address
- 955 Elbert St
Elberton, GA 30635-2641 - Phone
- (706) 283-8735
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011371 | GA | MD | Pharmacist |
| RPH011371 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH011371 | GA | |
| Pharmacist | 183500000X | 011371 | GA | Yes |
Addresses
Primary practice location
955 Elbert St
Elberton, GA 30635-2641
Mailing address
275 Paoli Rd
Carlton, GA 30627-1256
Phone (706) 498-3208
Other providers in Elberton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.