Active NPI
Rextox Consultant LLC
Doing business as Evansmill Pharmacy
- Community/Retail Pharmacy
- Lithonia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHRE010633
- Legal business name
- REXTOX CONSULTANT LLC
- Doing business as
- Evansmill Pharmacy
- Practice address
- 7525 Covington Hwy Ste G
Lithonia, GA 30058-7439 - Phone
- (678) 292-6025
- Fax
- (678) 292-6922
- NPI assigned
- May 31, 2018
- Last updated
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raphael Ogunsusi, PHARMACIST
- Title
- Ceo
- Phone
- (678) 478-9511
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | PHRE010633 | GA | Primary |
Addresses
Primary practice location
7525 Covington Hwy Ste G
Lithonia, GA 30058-7439
Mailing address
7525 Covington Hwy Ste G
Stonecrest, GA 30058-7439
Phone (678) 292-6025
Other names 1
- EVANSMILL PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Rextox Consultant LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Retox Healing Hands Pharmacy
- Community/Retail Pharmacy
- Conyers, GA
- NPI 1255800132
Locations
7525 Covington Hwy
Ste G
Stonecrest, GA 30058
Phone (678) 292-6025
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Conyers, GA
- NPI 1881943793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534809600000",
"number": "1023500501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 COVINGTON HWY STE G",
"city": "STONECREST",
"state": "GA",
"postal_code": "300587439",
"telephone_number": "678-292-6025",
"fax_number": "678-292-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 COVINGTON HWY STE G",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300587439",
"telephone_number": "678-292-6025",
"fax_number": "678-292-6922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REXTOX CONSULTANT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-08-21",
"status": "A",
"authorized_official_last_name": "OGUNSUSI",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-478-9511",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PHARMACIST"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "GA",
"license": "PHRE010633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EVANSMILL PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.