Active NPI
Robert Andrew Wynne, R.PH.
- Pharmacist
- Chamblee, GA
National Provider Identifier
1861944712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029568
- Practice address
- 3549 Chamblee Tucker Rd
Chamblee, GA 30341-4409 - Phone
- (770) 455-8620
- NPI assigned
- Oct 26, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH029568 | GA | Primary |
Addresses
Primary practice location
3549 Chamblee Tucker Rd
Chamblee, GA 30341-4409
Mailing address
4046 Goshen Lake Dr
Augusta, GA 30906-9109
Phone (706) 339-9931
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 |
|---|---|---|---|
| RPH029568 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477440000000",
"number": "1861944712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 GOSHEN LAKE DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309069109",
"telephone_number": "706-339-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3549 CHAMBLEE TUCKER RD",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303414409",
"telephone_number": "770-455-8620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNNE",
"first_name": "ROBERT",
"middle_name": "ANDREW",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-26",
"last_updated": "2016-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.