Active NPI
Susan Kellum, PHARM D
- Pharmacist
- Royston, GA
National Provider Identifier
1922515691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH029454
- Practice address
- 26 Franklin Springs St
Royston, GA 30662-4109 - Phone
- (706) 340-7894
- NPI assigned
- Jan 4, 2018
- Last updated
- Jan 4, 2018
- 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 | RPH029454 | GA | Primary |
Addresses
Primary practice location
26 Franklin Springs St
Royston, GA 30662-4109
Mailing address
PO Box 503
Comer, GA 30629-0503
Phone (706) 340-7894
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 |
|---|---|---|---|
| RPH029454 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515024000000",
"number": "1922515691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503",
"city": "COMER",
"state": "GA",
"postal_code": "306290503",
"telephone_number": "706-340-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 FRANKLIN SPRINGS ST",
"city": "ROYSTON",
"state": "GA",
"postal_code": "306624109",
"telephone_number": "706-340-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLUM",
"first_name": "SUSAN",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2018-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH029454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royston, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.