Active NPI
Nathalie Careme Nguedia, RPH
- Critical Care Pharmacist
- Lilburn, GA
National Provider Identifier
1225632094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- RPH030922
- Practice address
- 4358 Burns Rd NW
Lilburn, GA 30047-3596 - Phone
- (770) 564-8023
- NPI assigned
- Nov 23, 2020
- Last updated
- Nov 23, 2020
- 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 |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | RPH030922 | GA | Primary |
Addresses
Primary practice location
4358 Burns Rd NW
Lilburn, GA 30047-3596
Mailing address
3799 Pleasant Oaks Dr
Lawrenceville, GA 30044-7609
Phone (678) 760-9188
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030922 | GA | MD | Critical Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Critical Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1225632094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3799 PLEASANT OAKS DR",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447609",
"telephone_number": "678-760-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4358 BURNS RD NW",
"city": "LILBURN",
"state": "GA",
"postal_code": "300473596",
"telephone_number": "770-564-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUEDIA",
"first_name": "NATHALIE",
"middle_name": "CAREME",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "GA",
"license": "RPH030922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.