Palak Gandhi
Individual provider Active NPI Pharmacist · Sandersville, GA
NPI 1235810029 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1235810029
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 033.0134983 (VT)
- Practice address
- 206 S Harris St
Sandersville, GA 31082-2665 - Phone
- (860) 818-4521
- NPI assigned
- Jul 26, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH034250 | GA | MD | Pharmacist |
| 033.0134983 | VT | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH034250 | GA | |
| Pharmacist | 183500000X | 033.0134983 | VT | Yes |
Addresses
Primary practice location
206 S Harris St
Sandersville, GA 31082-2665
Mailing address
206 S Harris St
Sandersville, GA 31082-2665
Phone (860) 818-4521
Other providers in Sandersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.