Individual provider Active NPI

Pamela R Privette, RPH,MS

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1255331617
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
13737 Issued in GA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4494SCMDSpeech-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": []
}

Other providers in Atlanta, GA

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.

Verify at the official NPI Registry.