Active NPI
Emad Gharavi, PHARMD
- Pharmacist
- Peachtree Corners, GA
National Provider Identifier
1134443344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025889
- Practice address
- 3100 Northwoods PL
Peachtree Corners, GA 30071-1670 - Phone
- (855) 428-3564
- NPI assigned
- Mar 16, 2010
- Sex
- Male
- 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 | RPH025889 | GA | Primary |
| Pharmacist | 183500000X | 33291 | TN |
Addresses
Primary practice location
3100 Northwoods PL
Peachtree Corners, GA 30071-1670
Mailing address
3100 Northwoods PL
Ste F
Peachtree Corners, GA 30071-1670
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 |
|---|---|---|---|
| RPH025889 | GA | MD | Pharmacist |
| 33291 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alixa RX LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Norcross, GA
- NPI 1003152497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1134443344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 NORTHWOODS PL",
"address_2": "STE F",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300711670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NORTHWOODS PL",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300711670",
"telephone_number": "855-428-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHARAVI",
"first_name": "EMAD",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-16",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025889",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "33291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.