Individual provider Active NPI

Haritha Jalapu

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1255929600
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023492 Issued in GA
Practice address
2543 E Madison Dr
Atlanta, GA 30360-2019
Phone
(978) 328-4649
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X RPH023492 GA Primary

Addresses

Primary practice location

2543 E Madison Dr
Atlanta, GA 30360-2019

Mailing address

2151 Peachford Rd
Atlanta, GA 30338-6534

Other identifiers 1

IdentifierTypeStateIssuer
RPH023492OtherGAGEORIA BOARD OF PHARMACY

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

State licenses

LicenseStateTypeSpecialty
RPH023492GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1255929600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 PEACHFORD RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 E MADISON DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602019",
            "telephone_number": "978-328-4649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAPU",
        "first_name": "HARITHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORIA BOARD OF PHARMACY",
            "identifier": "RPH023492",
            "state": "GA"
        }
    ],
    "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 Dec 31, 2020; 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.