Active NPI
Michelle D. Oppong, PHARM.D.
- Pharmacist
- Atlanta, GA
National Provider Identifier
1205833290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 021465
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 021465 | GA | MD | Pharmacist |
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.