Active NPI
Pamela R Privette, RPH,MS
- Pharmacist
- Atlanta, GA
National Provider Identifier
1255331617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13737
- Practice address
- 1000 Johnson Ferry Rd NE
Northside Hospital Pharmacy
Atlanta, GA 30342-1606 - Phone
- (404) 851-8123
- Fax
- (404) 303-3898
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13737 | GA | Primary |
| Pharmacist | 183500000X | 4494 | SC |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Northside Hospital Pharmacy
Atlanta, GA 30342-1606
Mailing address
111 Mockingbird LN
Decatur, GA 30030-1160
Phone (404) 378-5663
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
- Master of Science, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4494 | SC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1255331617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MOCKINGBIRD LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301160",
"telephone_number": "404-378-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"address_2": "NORTHSIDE HOSPITAL PHARMACY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-8123",
"fax_number": "404-303-3898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVETTE",
"first_name": "PAMELA",
"middle_name": "R",
"name_prefix": "Ms.",
"credential": "RPH,MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "13737",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "4494",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.