Individual provider Active NPI

Austin Blake Ratliff, PHARMD

  • Pharmacist
  • Rome, GA
National Provider Identifier
1952032500
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027807 Issued in GA
Practice address
4334 Martha Berry Hwy NE
Rome, GA 30165-8642
Phone
(706) 235-1303
Fax
(706) 235-8239
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027807 GA Primary

Addresses

Primary practice location

4334 Martha Berry Hwy NE
Rome, GA 30165-8642

Mailing address

4334 Martha Berry Hwy NE
Rome, GA 30165-8642
Phone (706) 235-1303

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

LicenseStateTypeSpecialty
RPH027807GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Armuchee Pharmacy, LLC CurrentSince Jun 26, 2022 Accepting new patients

Locations

4334 Martha Berry Hwy NE
Rome, GA 30165
Phone (706) 235-1303

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1952032500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4334 MARTHA BERRY HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301658642",
            "telephone_number": "706-235-1303",
            "fax_number": "706-235-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4334 MARTHA BERRY HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301658642",
            "telephone_number": "706-235-1303",
            "fax_number": "706-235-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATLIFF",
        "first_name": "AUSTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.