Individual provider Active NPI

Mihir Changela

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Atlanta, GA
National Provider Identifier
1144988684
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH033393 Issued in GA
Practice address
4715 S Atlanta Rd SE
Atlanta, GA 30339-1531
Phone
(404) 792-6980
NPI assigned
Dec 1, 2021
Last updated
May 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH033393 GA Primary
Pharmacist 183500000X RPH033393 GA

Addresses

Primary practice location

4715 S Atlanta Rd SE
Atlanta, GA 30339-1531

Mailing address

3171 Forest Grove TRL NW
Acworth, GA 30101-6690
Phone (678) 995-2989

Other identifiers 1

IdentifierTypeStateIssuer
RPH033393OtherGAPHARMACIST LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mihir.changela@stores.kroger.com Direct

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
RPH033393GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Kroger Co CurrentSince Apr 27, 2025 Accepting new patients
Kroger Co PastSince Dec 5, 2021 Accepting new patients

Locations

457 Nathan Dean Blvd
Dallas, GA 30132
Phone (770) 443-8776

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1144988684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 FOREST GROVE TRL NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301016690",
            "telephone_number": "678-995-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4715 S ATLANTA RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303391531",
            "telephone_number": "404-792-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGELA",
        "first_name": "MIHIR",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH033393",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENSE NUMBER",
            "identifier": "RPH033393",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mihir.changela@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "Kroger Pharmacy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "457 Nathan Dean Blvd",
            "city": "Dallas",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301324911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 29, 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.

Verify at the official NPI Registry.