Active NPI
Nylah Shanks
- Pharmacy Technician
- Atlanta, GA
National Provider Identifier
1215675806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- PHTC060574
- Practice address
- 35 Collier Rd NW Ste 100
Atlanta, GA 30309-1780 - Phone
- (404) 350-9772
- NPI assigned
- May 24, 2022
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | PHTC060574 | GA | Primary |
Addresses
Primary practice location
35 Collier Rd NW Ste 100
Atlanta, GA 30309-1780
Mailing address
1425 Joseph E Boone Blvd NW Apt D103
Atlanta, GA 30314-2037
Phone (773) 587-7716
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | rxm.13641@store.walgreens.com | Direct |
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 |
|---|---|---|---|
| PHTC060574 | GA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
35 Collier Rd NW
Ste 100
Atlanta, GA 30309
Phone (404) 350-9772
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": "1653350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1215675806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 JOSEPH E BOONE BLVD NW APT D103",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303142037",
"telephone_number": "773-587-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 COLLIER RD NW STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091780",
"telephone_number": "404-350-9772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANKS",
"first_name": "NYLAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-24",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "GA",
"license": "PHTC060574",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.13641@store.walgreens.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "35 Collier Rd NW Ste 100",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "303091780",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.