Kimberly Beecher Elrod
Individual provider Active NPI Pharmacist · Toccoa, GA
NPI 1982904108 · NPPES record last updated Oct 22, 2010
Key facts
- NPI
- 1982904108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH024505 (GA)
- Practice address
- 1330 Big a Rd
Toccoa, GA 30577-6013 - Phone
- (706) 886-3119
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024505 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinic Pharmacy Inc | Current | Accepting new patients | |
| JSB Health, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024505 | GA | Yes |
Addresses
Primary practice location
1330 Big a Rd
Toccoa, GA 30577-6013
Mailing address
1330 Big a Rd
Toccoa, GA 30577-6013
Other providers in Toccoa, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2010. 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.