Active NPI
William Z Kittrell Jr., RPH
- Pharmacist
- Manchester, GA
National Provider Identifier
1861097743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- GA14350
- Practice address
- 503 W Main St
Manchester, GA 31816-1540 - Phone
- (706) 846-1241
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Male
- 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 | 10408 | AL | |
| Pharmacist | 183500000X | GA14350 | GA | Primary |
Addresses
Primary practice location
503 W Main St
Manchester, GA 31816-1540
Mailing address
503 W Main St
Manchester, GA 31816-1540
Phone (706) 846-1241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GA14350 | Other | GA | BOARD OF PHARMACY |
| 10408 | Other | AL | AL BOARD OF PHARMACY |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA14350 | GA | MD | Pharmacist |
| 10408 | AL | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy LLC | Current | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Locations
503 W Main St
Manchester, GA 31816
Phone (706) 846-1241
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": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1861097743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 W MAIN ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161540",
"telephone_number": "706-846-1241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 W MAIN ST",
"city": "MANCHESTER",
"state": "GA",
"postal_code": "318161540",
"telephone_number": "706-846-1241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITTRELL",
"first_name": "WILLIAM",
"middle_name": "Z",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10408",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "GA14350",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "GA14350",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BOARD OF PHARMACY",
"identifier": "10408",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manchester, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.