Individual provider Active NPI

Abdullah Omar Katoot

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Cumming, GA
National Provider Identifier
1194239210
Registry record updated Nov 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH028265 Issued in GA
Practice address
907 Buford Rd Ste 600
Cumming, GA 30041-2733
Phone
(404) 444-1314
NPI assigned
Nov 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH028265 GA Primary

Addresses

Primary practice location

907 Buford Rd Ste 600
Cumming, GA 30041-2733

Mailing address

1080 Laurian Park Dr
Roswell, GA 30075-7304
Phone (404) 444-1314

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
RPH028265GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Clinic LLC CurrentSince Jun 15, 2025 Accepting new patients
Milton Pharmacy LLC Current Accepting new patients

Locations

907 Buford Rd
Ste 600
Cumming, GA 30041
Phone (404) 444-1314

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511827200000",
    "number": "1194239210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 LAURIAN PARK DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757304",
            "telephone_number": "404-444-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BUFORD RD STE 600",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412733",
            "telephone_number": "404-444-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATOOT",
        "first_name": "ABDULLAH",
        "middle_name": "OMAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH028265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.