NPIMap

Organization Active NPI

University Healthcare Systems Employee Pharmacy

  • Pharmacy
  • Augusta, GA
National Provider Identifier
1992986756
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE002074 Issued in GA
Legal business name
UNIVERSITY HEALTHCARE SYSTEMS EMPLOYEE PHARMACY
Practice address
1350 Walton Way
Augusta, GA 30901-2629
Phone
(706) 774-5348
Fax
(706) 774-5071
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Richard W Severson
Title
Director, Pharmacy
Phone
(706) 774-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE002074 GA Primary

Addresses

Primary practice location

1350 Walton Way
Augusta, GA 30901-2629

Mailing address

1350 Walton Way
Augusta, GA 30901-2629
Phone (706) 774-5348

Other identifiers 1

IdentifierTypeStateIssuer
PHRE002074OtherGAPROFESSIONAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
University Hosp ER Serv3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1992986756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012629",
            "telephone_number": "706-774-5348",
            "fax_number": "706-774-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 WALTON WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012629",
            "telephone_number": "706-774-5348",
            "fax_number": "706-774-5071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY HEALTHCARE SYSTEMS EMPLOYEE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SEVERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY",
        "authorized_official_telephone_number": "706-774-5200"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE002074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PHRE002074",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.