Breanna A Locke, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

031442 Issued in GA

Practice address

178 Bracketts Way Ste 7
Blairsville, GA 30512-2984

Phone

(706) 400-5043

Fax

(706) 400-5046

NPI assigned

Jan 26, 2021

Last updated

Jan 26, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Hyer Apothecary LLC

  dba King's Hometown Pharmacy

  • Community/Retail Pharmacy
  • Blairsville, GA
  • NPI 1912492091
  NPD

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1942891692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 BELL HILL RD",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289067328",
            "telephone_number": "828-557-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 BRACKETTS WAY STE 7",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122984",
            "telephone_number": "706-400-5043",
            "fax_number": "706-400-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "BREANNA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "031442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecare Medical Transport LLC
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• Living Again Psychiatry LLC
• Joe Henry Livingston IV, MD
• Thomas Charles Lovelace, HADS,HIS
• Jake Paul Lundquist, FNP-C
• Emma Gene Lyles
• Ronald A Macbeth Jr., M.D.
• Ronald Ray Mallory, CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.