Breonna Jarraye Shepherd, PHARM.D.

Pharmacist · Austell, GA

Individual Active NPI

NPI number 1366730939

Practice location

4125 Austell Rd
T-1164
Austell, GA 30106-1836
Phone
(678) 945-4530
Fax
(678) 945-4530

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NPI record

NPI
1366730939
Entity type
Individual (Type 1)
Enumeration date
July 18, 2011
Last updated
July 18, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X RPH026047 GA

About Dr. Shepherd

Breonna Jarraye Shepherd, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 4125 Austell Rd, T-1164, Austell, GA 30106-1836. The NPI number 1366730939 was assigned on July 18, 2011 and the record was last updated on July 18, 2011.

Dr. Shepherd lists a license in the registry: #RPH026047 (GA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Breonna Jarraye Shepherd, PHARM.D.?

The NPI number is 1366730939.

What is the phone number of Dr. Shepherd?

The phone number listed for the practice location is (678) 945-4530.

Where is Dr. Shepherd located?

4125 Austell Rd, T-1164, Austell, GA 30106-1836.

What is the taxonomy code for Dr. Shepherd?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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