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DR. TRACE BRANTLEY PHARMD
NPI 1720866015
Pharmacist in Camilla, GA

Active since September 18, 2023

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Trace Brantley Pharmd NPPES

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

DR. TRACE BRANTLEY PHARMD (NPI 1720866015) is an individual pharmacist in Camilla, Georgia, licensed in Georgia (RPH034482) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1720866015
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. TRACE BRANTLEYCredential: PHARMD
Location Address165 US-19Camilla, GA 31730
Mailing Address165 Us-19Camilla, GA 31730 · (229) 336-0922
Phone(229) 336-0922
Sole ProprietorYes
Enumeration DateSeptember 18, 2023
NPPES CertifiedSeptember 16, 2023
✔ NPI 1720866015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH034482
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
165 US-19, Camilla, GA 31730
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Other Providers at the Same Location NPPES

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

HUNTER R JONES RPH
Pharmacist
165 US-19
CAMILLA, GA 31730
Mitchell County (229) 336-0922

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 Trace Brantley's NPI number?

The NPI number for Trace Brantley is 1720866015. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Trace Brantley located?

Trace Brantley practices at 165 Us-19, Camilla, GA 31730. The listed phone number is (229) 336-0922.

What is Trace Brantley's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Trace Brantley was last updated on September 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.