Active NPI
Alyssa Shankar Chaudhari, PHARMD
- Pharmacist
- Atlanta, GA
National Provider Identifier
1013504158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032498
- Practice address
- 3030 Headland Dr SW
Atlanta, GA 30311-5439 - Phone
- (404) 346-1423
- NPI assigned
- Dec 23, 2020
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032498 | GA | Primary |
Addresses
Primary practice location
3030 Headland Dr SW
Atlanta, GA 30311-5439
Mailing address
5374 Bluestone Cir
Mableton, GA 30126-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032498 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ASC Pharmacy LLC Dba Jennings Mill Drug Company | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Jennings Mill Drug Co.
- Community/Retail Pharmacy
- Watkinsville, GA
- NPI 1538586516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1013504158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5374 BLUESTONE CIR",
"city": "MABLETON",
"state": "GA",
"postal_code": "301267500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HEADLAND DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115439",
"telephone_number": "404-346-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHARI",
"first_name": "ALYSSA",
"middle_name": "SHANKAR",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-23",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "032498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.