Heather Page, PHARMD

Individual provider Active NPI Pharmacist · Cuthbert, GA

NPI 1972811297 · NPPES record last updated Sep 22, 2010

Key facts

NPI
1972811297
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RPH024191 (GA)
Practice address
101 N Webster St
Cuthbert, GA 39840-2522
Phone
(229) 732-2892
Fax
(229) 732-2915
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

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.

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

LicenseStateTypeSpecialty
RPH024191GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Freds Stores of Tennessee Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH024191 GA Yes

Addresses

Primary practice location

101 N Webster St
Cuthbert, GA 39840-2522

Mailing address

101 N Webster St
Cuthbert, GA 39840-2522
Phone (229) 732-2892

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 22, 2010.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1972811297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N WEBSTER ST",
            "city": "CUTHBERT",
            "state": "GA",
            "postal_code": "398402522",
            "telephone_number": "229-732-2892",
            "fax_number": "229-732-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N WEBSTER ST",
            "city": "CUTHBERT",
            "state": "GA",
            "postal_code": "398402522",
            "telephone_number": "229-732-2892",
            "fax_number": "229-732-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "HEATHER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH024191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuthbert, GA

All providers in Cuthbert, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.