Individual provider Active NPI

Rupal Kothari

  • Pharmacist
  • Flowery Branch, GA
National Provider Identifier
1194093369
Registry record updated Nov 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH021806 Issued in GA
Practice address
7395 Spout Springs Rd
Flowery Branch, GA 30542-5544
Phone
(770) 935-1037
NPI assigned
Dec 2, 2011
Last updated
Nov 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH021806 GA Primary

Addresses

Primary practice location

7395 Spout Springs Rd
Flowery Branch, GA 30542-5544

Mailing address

7395 Spout Springs Rd
Flowery Branch, GA 30542-5544
Phone (770) 935-1037

Other practice location 1

3806 Creekview Ridge Dr
Buford, GA 30518-8758
Phone (678) 714-9680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cvs 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
RPH021806GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1194093369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 SPOUT SPRINGS RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425544",
            "telephone_number": "770-935-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 SPOUT SPRINGS RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425544",
            "telephone_number": "770-935-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3806 Creekview Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305188758",
            "country_code": "US",
            "telephone_number": "678-714-9680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARI",
        "first_name": "RUPAL",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cvs",
            "affiliation": "N",
            "endpointDescription": "Business",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7395 Spout Springs Rd",
            "city": "Flowery Branch",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305425544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.