Mary Katherine Cheeley, PHARMD

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Atlanta, GA

NPI 1245526243 · NPPES record last updated Jun 21, 2013

Key facts

NPI
1245526243
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH025385 (GA)
Practice address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone
(404) 616-5711
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH025385GAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH025385 GA Yes
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 21600 NC

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031

Mailing address

80 Jesse Hill Jr Dr SE
PO Box 26041
Atlanta, GA 30303-3031

Other providers in Atlanta, GA

All providers in Atlanta, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.