Individual provider Active NPI

Yohannes Gari Gerba, PHARMD.

  • Pharmacist
  • Conyers, GA
National Provider Identifier
1033714761
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
027672 Issued in GA
Practice address
3481 Highway 20 SE
Conyers, GA 30013-2862
Phone
(678) 873-6923
NPI assigned
Dec 1, 2020
Last updated
Dec 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 027672 GA Primary

Addresses

Primary practice location

3481 Highway 20 SE
Conyers, GA 30013-2862

Mailing address

200 Red Hawk TRL
Alpharetta, GA 30022-6683
Phone (678) 873-6923

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.cvs.com Direct

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

LicenseStateTypeSpecialty
027672GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1033714761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RED HAWK TRL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226683",
            "telephone_number": "678-873-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3481 HIGHWAY 20 SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132862",
            "telephone_number": "678-873-6923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBA",
        "first_name": "YOHANNES",
        "middle_name": "GARI",
        "credential": "PHARMD.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "027672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.cvs.com",
            "affiliation": "N",
            "endpointDescription": "CVS Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3481 Highway 20 SE",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300132862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.