Active NPI
Nisha Dave
- Pharmacist
- Alpharetta, GA
National Provider Identifier
1104398809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031063
- Practice address
- 5455 Atlanta Hwy
Alpharetta, GA 30004-2928 - Phone
- (770) 475-4011
- NPI assigned
- Dec 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031063 | GA | Primary |
Addresses
Primary practice location
5455 Atlanta Hwy
Alpharetta, GA 30004-2928
Mailing address
181 Carleton Gold TRL
Dacula, GA 30019-6574
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031063 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545177600000",
"number": "1104398809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 CARLETON GOLD TRL",
"city": "DACULA",
"state": "GA",
"postal_code": "300196574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 ATLANTA HWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300042928",
"telephone_number": "770-475-4011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "NISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-19",
"last_updated": "2018-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.