Manoj Pradhan, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH028913 Issued in GA

Practice address

4051 Stone Mountain Hwy Ste D101
Lilburn, GA 30047-3364

Phone

(404) 936-8350

NPI assigned

Jan 4, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Namaste Neighborhood Pharmacy LLC

  • Community/Retail Pharmacy
  • Harrisburg, PA
  • NPI 1265199707
  NPD Authorized official
• Namaste Pharmacy & Convenience LLC

  • Community/Retail Pharmacy
  • Carlisle, PA
  • NPI 1922985720
  NPD Authorized official
• Namaste Pharmacy LLC

  • Community/Retail Pharmacy
  • Lilburn, GA
  • NPI 1083186720
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1093288722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 KINGS TROOP RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834707",
            "telephone_number": "404-936-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 STONE MOUNTAIN HWY STE D101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473364",
            "telephone_number": "404-936-8350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "926 Montreal Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "GA",
            "postal_code": "300211399",
            "country_code": "US",
            "telephone_number": "404-936-8350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRADHAN",
        "first_name": "MANOJ",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plus One Specialty LLC (Plus One Specialty Pharmacy)
• Pma Health Services, Inc.
• Jatavius Denard Ponder
• Shardae Portee
• Barbara Powe, RN, PHD
• Poonam Anil Pradhan, OTR/L
• Premier MD Group Inc.
• Premier Pain Management Inc
• Premiere Dermatology and Surgery, LLC
• Premium Life Medical Center LLC

• Pharmacist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.