James Michael Desorbo, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH023439 Issued in GA

Practice address

4769 S Main St
Acworth, GA 30101-5339

Phone

(800) 736-7519

NPI assigned

Dec 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Ancillary Services, Inc.

  • Long Term Care Pharmacy
  • Acworth, GA
  • NPI 1235121617
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1255937389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3859 HAMPTON CREST LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526991",
            "telephone_number": "941-320-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4769 S MAIN ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015339",
            "telephone_number": "800-736-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESORBO",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "GA",
            "license": "RPH023439",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ACWORTH",
            "affiliation": "N",
            "endpointDescription": "ACWORTH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ACWORTH,GA",
            "address_1": "4769 S Main St",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301015339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dental Nation PC
• Depew and Young Orthodontics, LLC
• David T Derrer, M.D.
• Snehal Desai
• Justin Desandre
• Nia Iman Devaughn
• Rebecca Dever, LMFT
• Devonshire Healthcare Systems, Inc.,
• Drake Robert Devos, OD
• Sandeep Dhaliwal, MD

• Pharmacist in Acworth, GA
• Providers in Acworth, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.