Josie Souders, PHARMD
Individual provider Active NPI Pharmacist · Rockmart, GA
NPI 1962003194 · NPPES record last updated Nov 4, 2020
Key facts
- NPI
- 1962003194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH019961 (GA)
- Practice address
- 1801 Nathan Dean Byp
Rockmart, GA 30153-2019 - Phone
- (678) 757-9756
- NPI assigned
- Nov 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH019961 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH019961 | GA | Yes |
Addresses
Primary practice location
1801 Nathan Dean Byp
Rockmart, GA 30153-2019
Mailing address
18 Lowry Way
Euharlee, GA 30145-2875
Phone (770) 606-8961
Other providers in Rockmart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.