Individual provider Active NPI

Michael K Duncan, REGISTERED PHARMACIS

  • Pharmacotherapy Pharmacist
  • Carrollton, GA
National Provider Identifier
1063532547
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RPH017955 Issued in GA
Practice address
1601 Maple St
Health Services (Pharmacy)
Carrollton, GA 30118-0001
Phone
(678) 839-0647
NPI assigned
Mar 30, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RPH017955 GA Primary

Addresses

Primary practice location

1601 Maple St
Health Services (Pharmacy)
Carrollton, GA 30118-0001

Mailing address

1730 Shady Grove Rd
Carrollton, GA 30116-8625
Phone (770) 834-4954

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

State licenses

LicenseStateTypeSpecialty
RPH017955GAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063532547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SHADY GROVE RD",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301168625",
            "telephone_number": "770-834-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MAPLE ST",
            "address_2": "HEALTH SERVICES (PHARMACY)",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301180001",
            "telephone_number": "678-839-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "REGISTERED PHARMACIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "RPH017955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.