Individual provider Active NPI

Victor Ray Voiselle, RPH.

  • Pharmacist
  • Brooklet, GA
National Provider Identifier
1912451246
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH019513 Issued in GA
Practice address
114 B Parker Ave
Brooklet, GA 30415-0215
Phone
(912) 842-9886
Fax
(912) 842-9890
NPI assigned
Aug 3, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH019513 GA Primary

Addresses

Primary practice location

114 B Parker Ave
Brooklet, GA 30415-0215

Mailing address

PO Box 2087
Statesboro, GA 30459-2087
Phone (912) 764-8234

Other identifiers 3

IdentifierTypeStateIssuer
002868998MedicaidGA
RPH019513OtherGASTATE PHARMACIST LICENSE
PHRE008690OtherGAPHARMACIST IN CHARGE

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

LicenseStateTypeSpecialty
RPH019513GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Pharmacy and Gifts, Inc. Past Accepting new patients
Walker Pharmacy and Gifts, Inc. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1912451246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304592087",
            "telephone_number": "912-764-8234",
            "fax_number": "912-489-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 B PARKER AVE",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304150215",
            "telephone_number": "912-842-9886",
            "fax_number": "912-842-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOISELLE",
        "first_name": "VICTOR",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002868998",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PHARMACIST LICENSE",
            "identifier": "RPH019513",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST IN CHARGE",
            "identifier": "PHRE008690",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklet, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.