Stephanie Watkins Kirkland, RPH
Individual provider Active NPI Pharmacist · Hawkinsville, GA
NPI 1912502154 · NPPES record last updated Dec 4, 2020
Key facts
- NPI
- 1912502154
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH018449 (GA)
- Practice address
- 342 Industrial Blvd
Hawkinsville, GA 31036-2103 - Phone
- (478) 609-1717
- Fax
- (478) 783-1404
- NPI assigned
- Dec 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH018449 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Ancillary Services, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH018449 | GA | Yes |
Addresses
Primary practice location
342 Industrial Blvd
Hawkinsville, GA 31036-2103
Mailing address
342 Industrial Blvd
Hawkinsville, GA 31036-2103
Phone (478) 609-1717
Other providers in Hawkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2020. 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.