RUSSELL JAY BOZEMAN
NPI 1366637142
Pharmacist - Geriatric in Statesboro, GA

Q: What is Russell Bozeman's NPI number?

The NPI number for Russell Bozeman is 1366637142. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Q: What is Russell Bozeman's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Geriatric, with taxonomy code 1835G0303X.

Q: When was this NPI record last updated?

The NPPES record for Russell Bozeman was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2007

10929 US HIGHWAY 301 S, SUITE 111, STATESBORO, GA 30458(912) 764-7839(912) 489-1519 Get Directions Write a Review

NPPES record last updated: September 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Russell Jay Bozeman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL JAY BOZEMAN (NPI 1366637142) is an individual geriatric provider in Statesboro, Georgia, licensed in Georgia (14782) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1366637142

Entity TypeIndividualMale

Primary Taxonomy1835G0303X

Provider Legal NameRUSSELL JAY BOZEMAN

Location Address10929 US HIGHWAY 301 S, SUITE 111Statesboro, GA 30458-7774

Mailing Address10929 Us Highway 301 S, Suite 111Statesboro, GA 30458-7774 · (912) 764-7839 · Fax (912) 489-1519

Phone(912) 764-7839

Fax(912) 489-1519

Sole ProprietorNo

Enumeration DateSeptember 13, 2007

✔ NPI 1366637142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · GeriatricPharmacy Service Providers

Taxonomy Code1835G0303X

License✔ Licensed in GA · 14782

Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a Certified Geriatric Pharmacist (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.

10929 US HIGHWAY 301 S, Statesboro, GA 30458

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DONNA LISA MOXLEY LASSITER

Pharmacist (Geriatric)

10929 US HIGHWAY 301 S, SUITE 111
STATESBORO, GA 30458

Bulloch County (912) 764-7839

GAYLE CHAPPELL CLARK R.PH

Pharmacist (Geriatric)

10929 US HIGHWAY 301 S, SUITE 111
STATESBORO, GA 30458

Bulloch County (912) 764-7839

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Bozeman's NPI number?

The NPI number for Russell Bozeman is 1366637142. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Russell Bozeman located?

Russell Bozeman practices at 10929 Us Highway 301 S Suite 111, Statesboro, GA 30458. The listed phone number is (912) 764-7839.

What is Russell Bozeman's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Geriatric, with taxonomy code 1835G0303X.

When was this NPI record last updated?

The NPPES record for Russell Bozeman was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.