Kwambi Dover

Primary specialty

PharmacistTaxonomy code 183500000X

License

019455 Issued in GA

Practice address

1544 Piedmont Rd NE
Atlanta, GA 30324-5018

Phone

(404) 724-0932

Fax

(404) 724-0936

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1114264900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245018",
            "telephone_number": "404-724-0932",
            "fax_number": "404-724-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVER",
        "first_name": "KWAMBI",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019455",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "012563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Douthat
• Mary Katherine Douthit, MD
• Dove Rehab, LLC
• Rachel Dove, AUD, CCC-A
• Hannah Dover
• Sara Elizabeth Dover, PA-C
• William F Doverspike, PHD
• Dowd Center for Child Development (One Life Child Development Center)
• Devan Dowdell
• Erik E Dowden, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.