Active NPI
Andrea Palmer, PHARMD
- Pharmacist
- Tucker, GA
National Provider Identifier
1114879590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202223076
- Practice address
- 200 Crescent Center Pkwy
Tucker, GA 30084-7047 - Phone
- (770) 220-3787
- NPI assigned
- Feb 10, 2026
- Last updated
- Feb 10, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028163 | GA | |
| Pharmacist | 183500000X | 0202223076 | VA | Primary |
Addresses
Primary practice location
200 Crescent Center Pkwy
Tucker, GA 30084-7047
Mailing address
535 Elgaen CT
Roswell, GA 30075-2591
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 |
|---|---|---|---|
| RPH028163 | GA | MD | Pharmacist |
| 0202223076 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1114879590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 ELGAEN CT",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300752591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CRESCENT CENTER PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847047",
"telephone_number": "770-220-3787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "ANDREA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-10",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028163",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202223076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Paces West Opticians Inc (Paces West Eyecare)
- Paces West Opticians Incorporated (Paces West Eyecare)
- Paganholdings LLC
- Pain Management & Wellness Centers of Georgia, LLC
- Palliative Pharmacy Solutions Inc
- Stanley Gene Pang, RD, LD
- Paradigm Prosthodontics and Consulting, LLC
- Parasitic Disease Consultants
- Poonam Harshad Parbhoo
- Jailynne Pardue
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.