Active NPI
Theresa Elizabeth Mueller, PHARMD
- Pharmacist
- Newnan, GA
National Provider Identifier
1902401292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 031739
- Practice address
- 2305 Sr-34 E
Newnan, GA 30265 - Phone
- (678) 423-1043
- NPI assigned
- Dec 3, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 031739 | IL | Primary |
Addresses
Primary practice location
2305 Sr-34 E
Newnan, GA 30265
Mailing address
2305 Sr-34 E
Newnan, GA 30265
Phone (678) 423-1043
Other practice location 1
395 jackson street
newnan, GA 30263
Phone (770) 251-3857
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 |
|---|---|---|---|
| 031739 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy, LLC | Past | Accepting new patients | |
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Pooler, GA
- NPI 1578009130
-
- Pharmacy
- Newnan, GA
- NPI 1316240427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1902401292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 SR-34 E",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "678-423-1043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 SR-34 E",
"city": "NEWNAN",
"state": "GA",
"postal_code": "30265",
"telephone_number": "678-423-1043"
}
],
"practiceLocations": [
{
"address_1": "395 jackson street",
"address_purpose": "LOCATION",
"city": "newnan",
"state": "GA",
"postal_code": "30263",
"country_code": "US",
"telephone_number": "770-251-3857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "THERESA",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-03",
"last_updated": "2020-12-03",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "031739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.