Active NPI
Geoy Boozer
- Pharmacist
- Atlanta, GA
National Provider Identifier
1194317990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031725
- Practice address
- 3094 Sable Run Rd
Atlanta, GA 30349-3658 - Phone
- (678) 933-8598
- NPI assigned
- Feb 3, 2021
- Last updated
- Feb 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031725 | GA | Primary |
Addresses
Primary practice location
3094 Sable Run Rd
Atlanta, GA 30349-3658
Mailing address
3094 Sable Run Rd
Atlanta, GA 30349-3658
Phone (678) 933-8598
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031725 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612310400000",
"number": "1194317990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3094 SABLE RUN RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303493658",
"telephone_number": "678-933-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3094 SABLE RUN RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303493658",
"telephone_number": "678-933-8598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOZER",
"first_name": "GEOY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-03",
"last_updated": "2021-02-03",
"certification_date": "2021-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.