Robert John Borsom III, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

030568 Issued in GA

Practice address

500 Brookhaven Ave NE
Brookhaven, GA 30319-3291

Phone

(404) 460-1924

Fax

(404) 460-1921

NPI assigned

Jan 17, 2019

Last updated

Jan 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1235603754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193291",
            "telephone_number": "404-460-1924",
            "fax_number": "404-460-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193291",
            "telephone_number": "404-460-1924",
            "fax_number": "404-460-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORSOM",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "030568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Fordham Blais, WHNP-BC
• Michelle Blalock, PHARMD
• Bliss Healthcare Solutions LLC
• Kristie Erin Bobek, FNP-C
• Brooke Anne Boccaccio, APRN-NP
• Michaela Bostick, RBT
• Bouba Commerce LLC
• Boutiquegyn Wellness Center
• Barbara Blair Bowers
• Susan Margaret Boyan, MFT

• Pharmacist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; 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.