Active NPI
Maggie Braxton Green, PHARMD
- Pharmacist
- Thomasville, GA
National Provider Identifier
1861155368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032631
- Practice address
- 915 Gordon Ave
Thomasville, GA 31792-6699 - Phone
- (229) 228-2948
- NPI assigned
- Oct 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59750 | FL | |
| Ambulatory Care Pharmacist | 1835P2201X | PDTM000141 | GA | |
| Pharmacist | 183500000X | RPH032631 | GA | Primary |
Addresses
Primary practice location
915 Gordon Ave
Thomasville, GA 31792-6699
Mailing address
7425 Laurel Ridge LN
Tallahassee, FL 32312-3664
Phone (850) 363-6249
Other names 1
- Maggie Anne Braxton
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA |
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 |
|---|---|---|---|
| PS59750 | FL | MD | Pharmacist |
| RPH032631 | GA | MD | Pharmacist |
| PDTM000141 | GA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634774400000",
"number": "1861155368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7425 LAUREL RIDGE LN",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323123664",
"telephone_number": "850-363-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 GORDON AVE",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926699",
"telephone_number": "229-228-2948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "MAGGIE",
"middle_name": "BRAXTON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-21",
"certification_date": "2021-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59750",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "GA",
"license": "PDTM000141",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032631",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "915 Gordon Ave",
"city": "Thomasville",
"state": "GA",
"country_code": "US",
"postal_code": "317926699",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "BRAXTON",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.