Niroj Basnet, PHARMD
Individual provider Active NPI Pharmacist · Lilburn, GA
NPI 1164026464 · NPPES record last updated Nov 27, 2020
Key facts
- NPI
- 1164026464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH028868 (GA)
- Practice address
- 5575 Lawrenceville Hwy NW
Lilburn, GA 30047-6048 - Phone
- (770) 935-4959
- NPI assigned
- Nov 27, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028868 | GA | MD | Pharmacist |
| 25550 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past |
Accepting new patients | |
| Georgia CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25550 | NC | |
| Pharmacist | 183500000X | RPH028868 | GA | Yes |
Addresses
Primary practice location
5575 Lawrenceville Hwy NW
Lilburn, GA 30047-6048
Mailing address
5575 Lawrenceville Hwy NW
Lilburn, GA 30047-6048
Phone (770) 935-4959
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.