Active NPI
Ann Rosser Damon, PHARMD
- Pharmacist
- Lilburn, GA
National Provider Identifier
1174515944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 014016
- Practice address
- 3945 Lawrenceville Hwy NW
Lilburn, GA 30047-2817 - Phone
- (770) 806-6835
- Fax
- (770) 279-6235
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 014016 | GA | Primary |
| Pharmacist | 183500000X | 06180 | NC | |
| Pharmacist | 183500000X | 004763 | SC |
Addresses
Primary practice location
3945 Lawrenceville Hwy NW
Lilburn, GA 30047-2817
Mailing address
972 Pecan Grove PL
Lawrenceville, GA 30045-5515
Phone (770) 963-1832
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 |
|---|---|---|---|
| 014016 | GA | MD | Pharmacist |
| 06180 | NC | MD | Pharmacist |
| 004763 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174515944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "972 PECAN GROVE PL",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300455515",
"telephone_number": "770-963-1832",
"fax_number": "770-279-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3945 LAWRENCEVILLE HWY NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472817",
"telephone_number": "770-806-6835",
"fax_number": "770-279-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMON",
"first_name": "ANN",
"middle_name": "ROSSER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "014016",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "06180",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "004763",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.