Provider Demographics
NPI:1609753532
Name:ROY, CORTNEY ANNE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CORTNEY
Middle Name:ANNE
Last Name:ROY
Suffix:
Gender:X
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 KRISTEN CT
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8102
Mailing Address - Country:US
Mailing Address - Phone:802-922-7417
Mailing Address - Fax:
Practice Address - Street 1:2800 CENTURY PKWY NE STE 550
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30345-3161
Practice Address - Country:US
Practice Address - Phone:802-922-7417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH035666183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist