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NPI 1699379792ActiveIndividual· Pharmacist· Warner Robins, GA

Pharmacist in Warner Robins, Georgia, licensed in GA, with an NPI issued in November 2020.

Overview

NPI1699379792
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedNov 30, 2020
Last updated in NPPESSep 2, 2026
Certified by providerSep 2, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XRPH030894GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Warner Robins

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