RALYN DANIELS BULLOCK
NPI 1831860006
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jefferson, GA

Active since September 27, 2021
1685 OLD PENDERGRASS RD, JEFFERSON, GA 30549(706) 387-7620 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Sep 27, 2021 (2 updates tracked since 2021).

About Ralyn Daniels Bullock NPPES

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

RALYN DANIELS BULLOCK (NPI 1831860006) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Jefferson, Georgia, licensed in Georgia (RPH033179) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1831860006
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameRALYN DANIELS BULLOCK
Location Address1685 OLD PENDERGRASS RDJefferson, GA 30549-2705
Mailing Address306 Katherine DrJefferson, GA 30549-2107 · (404) 310-5590
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1831860006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in GA · RPH033179
Definition

Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

1685 OLD PENDERGRASS RD, Jefferson, GA 30549

Other Providers at the Same Location NPPES 11

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

Pharmacist
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Pharmacist
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Pharmacist
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Nurse Practitioner (Family)
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Nurse Practitioner (Family)
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549
Nurse Practitioner (Family)
1685 OLD PENDERGRASS RD
JEFFERSON, GA 30549

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 Ralyn Bullock's NPI number?

The NPI number for Ralyn Bullock is 1831860006. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Ralyn Bullock located?

Ralyn Bullock practices at 1685 Old Pendergrass Rd, Jefferson, GA 30549. The listed phone number is (706) 387-7620.

What is Ralyn Bullock's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Ralyn Bullock was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.