Active NPI
John Small
- Pharmacist
- Rome, GA
National Provider Identifier
1972103422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024925
- Practice address
- 2510 Redmond Cir NW
Rome, GA 30165-1913 - Phone
- (706) 235-3699
- Fax
- (706) 235-4212
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024925 | GA | Primary |
Addresses
Primary practice location
2510 Redmond Cir NW
Rome, GA 30165-1913
Mailing address
2386 Willington Shoals PL SE
Smyrna, GA 30080-8513
Phone (404) 372-8564
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024925 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1972103422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 WILLINGTON SHOALS PL SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300808513",
"telephone_number": "404-372-8564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 REDMOND CIR NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651913",
"telephone_number": "706-235-3699",
"fax_number": "706-235-4212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024925",
"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 Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.