Organization Active NPI

HT Pharmacy & Medical Supplies

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1275548919
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH019783 Issued in GA
Legal business name
HT PHARMACY & MEDICAL SUPPLIES
Practice address
486 Decatur Street S E
#8
Atlanta, GA 30312
Phone
(678) 701-0383
Fax
(678) 701-0381
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Haggai N Tumban, PHARMACIST
Title
Pharmacist in Charge President
Phone
(678) 701-0383

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X RPH019783 GA Primary
Pharmacy 333600000X PHRE008685 GA

Addresses

Primary practice location

486 Decatur Street S E
#8
Atlanta, GA 30312

Mailing address

486 Decatur Street S E
#8
Atlanta, GA 30312
Phone (678) 701-0383

Other identifiers 1

IdentifierTypeStateIssuer
00978414AMedicaidGA

National Provider Directory

National Provider Directory

Locations

486 Decatur St SE
#8
Atlanta, GA 30312
Phone (678) 701-0383

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1275548919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 DECATUR STREET S E",
            "address_2": "#8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "678-701-0383",
            "fax_number": "678-701-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 DECATUR STREET S E",
            "address_2": "#8",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30312",
            "telephone_number": "678-701-0383",
            "fax_number": "678-701-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HT PHARMACY & MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TUMBAN",
        "authorized_official_first_name": "HAGGAI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE PRESIDENT",
        "authorized_official_telephone_number": "678-701-0383",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH019783",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE008685",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00978414A",
            "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 Sep 11, 2025; 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.