Maureen L Rentz, PHARM.D

Key facts

NPI

1922601129

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X

License

RPH-029811 (GA)

Practice address

3595 Atlanta Hwy
Athens, GA 30606-3152

Phone

(706) 549-8985

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

No

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.

• Georgia CVS Pharmacy L.L.C Pharmacy · Pooler, GA · NPI 1578009130
  NPD (past)
• Georgia CVS Pharmacy LLC Pharmacy · Athens, GA · NPI 1437458593
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Specialties & licenses

Addresses

Other names

• Maureen L Madsen Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1922601129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063152",
            "telephone_number": "706-549-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 ATLANTA HWY",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063152",
            "telephone_number": "706-549-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTZ",
        "first_name": "MAUREEN",
        "middle_name": "L",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH-029811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "MADSEN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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