Alicia Beatrix Elam, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH018336 Issued in GA

Practice address

3650 Wheeler Rd
Augusta, GA 30909-6520

Phone

(706) 210-7991

NPI assigned

Mar 9, 2011

Last updated

Mar 9, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299628800000",
    "number": "1932407202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 MAYFAIR RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093569",
            "telephone_number": "706-394-2187",
            "fax_number": "706-955-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-210-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELAM",
        "first_name": "ALICIA",
        "middle_name": "BEATRIX",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH018336",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "12058",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC PHARMACY LICENSE",
            "identifier": "12058",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "RPH018336",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brinsley Ekinde Ekinde, M.D.
• Joanna El Hajj, MD
• Rihab Jamal El Yousef, DPM
• Ahmed El-Awady, BDS, PHD, MS
• Leyla El-Choufi, M.D.
• Jackson C Elam, MD
• Rachel Elizabeth Elam, M.D.
• Wanda Denise Elam, DNP, APRN, FNP-C
• Mahmoud Elashiry, BDS, MDS, MS, PHD
• Mohamed Elashiry, BDS, MDS, PHD

• Pharmacist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.