NPIMap

Organization Active NPI

Giovanni Nirmala

  • Pharmacy
  • Stone Mountain, GA
National Provider Identifier
1205129129
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GIOVANNI NIRMALA
Practice address
477 Tallwood Dr
Stone Mountain, GA 30083-4461
Phone
(414) 418-0530
NPI assigned
May 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Authorized official

Name
Dr. Nikki Broadneaux, PHARMDNPI 1568755478
Title
Chief Executive Officer
Phone
(414) 418-0530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

477 Tallwood Dr
Stone Mountain, GA 30083-4461

Mailing address

477 Tallwood Dr
Stone Mountain, GA 30083-4461
Phone (414) 418-0530

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1205129129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 TALLWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834461",
            "telephone_number": "414-418-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 TALLWOOD DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834461",
            "telephone_number": "414-418-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIOVANNI NIRMALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "BROADNEAUX",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "414-418-0530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.