Active NPI
Jeff B. Morgan, RPH
- Pharmacist
- Kennesaw, GA
National Provider Identifier
1902103997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020195
- Practice address
- 4283 Wade Green Rd NW
Kennesaw, GA 30144-1244 - Phone
- (770) 422-0904
- NPI assigned
- Feb 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 020195 | GA | Primary |
Addresses
Primary practice location
4283 Wade Green Rd NW
Kennesaw, GA 30144-1244
Mailing address
1085 Wilde Run CT
Roswell, GA 30075-7159
Phone (770) 754-7897
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 |
|---|---|---|---|
| 020195 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298851200000",
"number": "1902103997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 WILDE RUN CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300757159",
"telephone_number": "770-754-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4283 WADE GREEN RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441244",
"telephone_number": "770-422-0904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "JEFF",
"middle_name": "B.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-28",
"last_updated": "2011-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.