Joby Varughese

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030993 Issued in GA

Practice address

4037 Glenwood Rd
Decatur, GA 30032-4616

Phone

(404) 288-4880

NPI assigned

Nov 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Georgia CVS Pharmacy L.L.C

  • Pharmacy
  • Pooler, GA
  • NPI 1578009130
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1033712989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 GLENWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324616",
            "telephone_number": "404-288-4880",
            "fax_number": "404-288-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 GLENWOOD RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324616",
            "telephone_number": "404-288-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARUGHESE",
        "first_name": "JOBY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx04684@stores.cvshealth.com",
            "affiliation": "N",
            "address_1": "4037 Glenwood Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300324616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carrie P Vanzant, LCSW
• Annie Varghese, M.D.
• Anjana Varma, MMSC
• Vijay Alluri Varma, M.D.
• Tiffany Varner
• Vascular Medicine and Surgery Specialist of Atlanta,L.L.C.
• Marie-Lyne Vaudran
• Michael Roy Vaughn, M.D.
• Sally Vaughn, RADIOLOGIC TECH
• Vincent Craig Vaughters, D.D.S.

• Pharmacist in Decatur, GA
• Providers in Decatur, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.