Ketan Trivedi

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH022356 Issued in GA

Practice address

1086 Baxter Street
Athens, GA 30606

Phone

(678) 205-7038

NPI assigned

Aug 10, 2017

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Express at Northside LLC

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1285145789
  NPD Authorized official
• Shree Kesrinandan LLC

  • Community/Retail Pharmacy
  • Athens, GA
  • NPI 1205352473
  NPD Authorized official
• Shree Kesrinandan LLC

  • Long-Term Care Clinical Nurse Specialist
  • Athens, GA
  • NPI 1407707920
  NPD Authorized official

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1164947123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1086 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066316",
            "telephone_number": "678-205-7038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 BAXTER STREET",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "678-205-7038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KETAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH022356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Trent, PSY.D.
• Evaline J Trevias
• Trinity EMS Transport LLC
• Melissa G Tripp, NP-C
• Bhairvi Mayank Trivedi
• Mia Troyer, MS, LAT, ATC, NREMT
• True Comfort Care Home 1
• True Comfort Care Home 4
• True Comfort Care Home 5
• True Comfort Care Home 6

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Athens, GA
• Providers in Athens, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.