Active NPI
Mureja Shiberu Keraga, PHARMD
- Pharmacist
- Austel, GA
National Provider Identifier
1154047009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 032664
- Practice address
- 800 East West Connector
Austel, GA 30106 - Phone
- (770) 438-1680
- NPI assigned
- Oct 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032664 | GA | Primary |
Addresses
Primary practice location
800 East West Connector
Austel, GA 30106
Mailing address
3637 S Marlborough Dr
Tucker, GA 30084
Phone (404) 924-9186
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 |
|---|---|---|---|
| 032664 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1154047009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3637 S MARLBOROUGH DR",
"city": "TUCKER",
"state": "GA",
"postal_code": "30084",
"telephone_number": "404-924-9186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 EAST WEST CONNECTOR",
"city": "AUSTEL",
"state": "GA",
"postal_code": "30106",
"telephone_number": "770-438-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERAGA",
"first_name": "MUREJA",
"middle_name": "SHIBERU",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-12",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "032664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.