Joshua O. Brannen III, PHARMD
Individual provider Active NPI Pharmacist · Sandersville, GA
NPI 1891722534 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1891722534
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH020025 (GA)
- Practice address
- 514 Washington Ave
Sandersville, GA 31082-1971 - Phone
- (478) 552-6111
- Fax
- (478) 552-6113
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH020025 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convacare Services Inc. | Past | Accepting new patients | |
| West Prescription Shop | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH020025 | GA | Yes |
Addresses
Primary practice location
514 Washington Ave
Sandersville, GA 31082-1971
Mailing address
514 Washington Ave
Sandersville, GA 31082-1971
Phone (478) 552-6111
Other providers in Sandersville, 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.