Stephen L Morgan Sr., RPH
Individual provider Active NPI Pharmacist · Vienna, GA
NPI 1861520199 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861520199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 12342 (GA)
- Practice address
- 101 S 3Rd St
Vienna, GA 31092-1511 - Phone
- (229) 268-2111
- Fax
- (229) 268-2117
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|
| 12342 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unadilla Drug Company, Inc | Past |
Accepting new patients | |
| Forbes Drug Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12342 | GA | Yes |
Addresses
Primary practice location
101 S 3Rd St
Vienna, GA 31092-1511
Mailing address
P O Box 3
Vienna, GA 31092-0301
Phone (229) 268-2111
Other providers in Vienna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.