Active NPI
Muriel Palmer-Colstock, PHARM. D.
- Pharmacist
- Lithonia, GA
National Provider Identifier
1114212701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020518
- Practice address
- 8109 Mall Pkwy
Target Pharmacy (T1909)
Lithonia, GA 30038-2546 - Phone
- (678) 259-0047
- Fax
- (678) 259-0047
- NPI assigned
- Jun 13, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH020518 | GA | Primary |
Addresses
Primary practice location
8109 Mall Pkwy
Target Pharmacy (T1909)
Lithonia, GA 30038-2546
Mailing address
8109 Mall Pkwy
Target Pharmacy (T1909)
Lithonia, GA 30038-2546
Phone (678) 259-0047
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 |
|---|---|---|---|
| RPH020518 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307923200000",
"number": "1114212701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8109 MALL PKWY",
"address_2": "TARGET PHARMACY (T1909)",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300382546",
"telephone_number": "678-259-0047",
"fax_number": "678-259-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8109 MALL PKWY",
"address_2": "TARGET PHARMACY (T1909)",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300382546",
"telephone_number": "678-259-0047",
"fax_number": "678-259-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER-COLSTOCK",
"first_name": "MURIEL",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2011-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.