Individual provider Active NPI

Lorna Kirui, PHARMD

  • Pharmacist
  • Villa Rica, GA
National Provider Identifier
1053770917
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH027244 Issued in GA
Practice address
2000 Mirror Lake Blvd
Villa Rica, GA 30180-2124
Phone
(678) 840-8788
NPI assigned
Feb 19, 2016
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH027244 GA Primary
Pharmacist 183500000X 47737 TX

Addresses

Primary practice location

2000 Mirror Lake Blvd
Villa Rica, GA 30180-2124

Mailing address

147 Silver Arrow Cir
Austell, GA 30168-7496
Phone (936) 777-3435

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
RPH027244GAMDPharmacist
47737TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1053770917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SILVER ARROW CIR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301687496",
            "telephone_number": "936-777-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "678-840-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRUI",
        "first_name": "LORNA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH027244",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.