Individual provider Active NPI

Jitendra Chaudhari, PHARMACIST

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1114646239
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH028305 Issued in GA
Practice address
933 Peachtree St NE Ste 100
Atlanta, GA 30309-7901
Phone
(770) 485-0575
Fax
(877) 411-0199
NPI assigned
Aug 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH028305 GA Primary

Addresses

Primary practice location

933 Peachtree St NE Ste 100
Atlanta, GA 30309-7901

Mailing address

933 Peachtree St NE Ste 100
Atlanta, GA 30309-7901
Phone (770) 485-0575

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

LicenseStateTypeSpecialty
RPH028305GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Health Solutions, Inc. CurrentSince Aug 1, 2022 Accepting new patients
West Cobb Specialty Pharmacy Inc CurrentSince Aug 28, 2022 Accepting new patients
West Cobb Specialty Pharmacy Inc CurrentSince Apr 1, 2024 Accepting new patients

Locations

1700 Hospital South Dr
Ste 100
Austell, GA 30106
Phone (770) 485-0575

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1114646239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097901",
            "telephone_number": "770-485-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097901",
            "telephone_number": "770-485-0575",
            "fax_number": "877-411-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHARI",
        "first_name": "JITENDRA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH028305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.