Robert Joseph Duke

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

PHI-014835 Issued in GA

Practice address

3826 Cobb Parkway N
Pharmacy Dept
Acworth, GA 30101-4022

Phone

(770) 966-1366

NPI assigned

Dec 22, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1134498967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARKLAKE DR NE",
            "address_2": "APT 1007",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452898",
            "telephone_number": "678-361-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 COBB PARKWAY N",
            "address_2": "PHARMACY DEPT",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014022",
            "telephone_number": "770-966-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "PHI-014835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shara B. Draper, O.D.
• Candace Driggers, MBA
• Wendy Dry
• Donasja S Dubose
• Martin Duke, RPT
• Whitni Cox Duncanson, BCBA
• Krysten Butler Duren, D.C.
• Kristen Dyer
• Fady G Ebid, DMD
• Darra M Edwards, MA, PHARMD, BCPS

• Student in an Organized Health Care Education/Training Program in Acworth, GA
• Providers in Acworth, GA by specialty
• Student in an Organized Health Care Education/Training Program in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.