Active NPI
Jane L Perlman, PHARM.D.
- Pharmacist
- Tucker, GA
National Provider Identifier
1053902429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020633
- Practice address
- 4317 Chamblee Tucker Rd
Tucker, GA 30084-2106 - Phone
- (770) 938-6146
- NPI assigned
- Jan 28, 2021
- Last updated
- Jan 28, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19918 | MA | |
| Pharmacist | 183500000X | RPH020633 | GA | Primary |
Addresses
Primary practice location
4317 Chamblee Tucker Rd
Tucker, GA 30084-2106
Mailing address
314 Caruso CT
Atlanta, GA 30350-6608
Phone (678) 361-8057
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Tucker | Other |
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 |
|---|---|---|---|
| RPH020633 | GA | MD | Pharmacist |
| 19918 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1053902429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 CARUSO CT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303506608",
"telephone_number": "678-361-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4317 CHAMBLEE TUCKER RD",
"city": "TUCKER",
"state": "GA",
"postal_code": "300842106",
"telephone_number": "770-938-6146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN",
"first_name": "JANE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "19918",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020633",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Tucker",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Tucker",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4317 Chamblee Tucker Rd",
"city": "Tucker",
"state": "GA",
"country_code": "US",
"postal_code": "300842106",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.