Elita Bundrage, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

027999 Issued in GA

Practice address

3155 Royal Dr
Alpharetta, GA 30022-2475

Phone

(770) 947-8787

NPI assigned

Feb 11, 2020

Sex

Female

Sole proprietor

No

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

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.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Douglasville, GA
  • NPI 1194759076
  NPD (past)

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1104458777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 ROYAL DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROYAL DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222475",
            "telephone_number": "770-947-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNDRAGE",
        "first_name": "ELITA",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "027999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Buelow, FNP
• Mandy M Buffington, SLP
• Kailynn Buissereth
• Irina Bukshteyn, FNP-C
• Nelson David Bulmash, DC
• Virginia Maria Bundy, FNP-C
• Christine Marie Bunyan, LAPC
• Cailey Bureau
• Grant Christian Burgdorf, D.D.S., M.S.
• Burke Robinson, MD, PC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.