Active NPI
Marla Aldridge Banks, PHARMD
- Pharmacist
- Canton, GA
National Provider Identifier
1083997258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020252
- Practice address
- 120 Marietta Hwy
Canton, GA 30114-2303 - Phone
- (678) 880-0575
- NPI assigned
- Sep 23, 2011
- 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 | PS34248 | FL | |
| Pharmacist | 183500000X | 020252 | GA | Primary |
Addresses
Primary practice location
120 Marietta Hwy
Canton, GA 30114-2303
Mailing address
101 Riverstone Vis Ste 102
Blue Ridge, GA 30513-6630
Phone (706) 258-4140
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 |
|---|---|---|---|
| PS34248 | FL | MD | Pharmacist |
| 020252 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1083997258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS STE 102",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136630",
"telephone_number": "706-258-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 MARIETTA HWY",
"city": "CANTON",
"state": "GA",
"postal_code": "301142303",
"telephone_number": "678-880-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "MARLA",
"middle_name": "ALDRIDGE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS34248",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "020252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.