Individual provider Active NPI

Michelle D. Oppong, PHARM.D.

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1205833290
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
021465 Issued in GA
Practice address
55 Ivan Allen Jr Blvd NW
Health Science Advisory Services
Atlanta, GA 30308-3050
Phone
(404) 616-0134
Fax
(404) 616-6070
NPI assigned
Jul 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 021465 GA Primary

Addresses

Primary practice location

55 Ivan Allen Jr Blvd NW
Health Science Advisory Services
Atlanta, GA 30308-3050

Mailing address

4752 Ivy Ridge Dr SE
Smyrna, GA 30080-6628
Phone (404) 277-6295

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

LicenseStateTypeSpecialty
021465GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1205833290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4752 IVY RIDGE DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806628",
            "telephone_number": "404-277-6295",
            "fax_number": "866-430-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 IVAN ALLEN JR BLVD NW",
            "address_2": "HEALTH SCIENCE ADVISORY SERVICES",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083050",
            "telephone_number": "404-616-0134",
            "fax_number": "404-616-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPONG",
        "first_name": "MICHELLE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "021465",
            "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 Nov 5, 2008; 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.