Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093437899 Individual Practitioner Female Practitioner

Dr. Vicklyn Lunick Datilus , PharmD

Pharmacist • Jackson, GA

Professional Overview & Biography Verified Profile Summary

Dr. Vicklyn Datilus, PharmD is a registered healthcare professional specializing in Pharmacist in Jackson, GA. Practice services are available at 506 E 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

506 E 3rd St

Jackson, GA 302332105

Telephone 7707757134
Associated Practice Facility / Clinic
🏢 Georgia Cvs Pharmacy Llc Facility NPI 1619070448

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Jackson, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-09-17
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH033513

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2022

Registered at 506 E 3RD ST, JACKSON, GA 302332105 (Tel: 7707757134)

📍
Updated Business Mailing Address September 19, 2022

Registered at 1200 TOWN CENTER VILLAGE DR APT 1222, MCDONOUGH, GA 302535932 (Tel: 9087593597)

👤
Provider Name / Credentials Updated September 19, 2022

Recorded as VICKLYN DATILUS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2022

Pharmacist (License #RPH033513 in GA)

🟢
Initial NPI Registration & Enumeration September 19, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093437899
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2022
Last Update: September 19, 2022
Sole Proprietor: Yes

Mailing Address

1200 Town Center Village Dr Apt 1222

Mcdonough, GA 302535932

Phone: 9087593597

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.