Active NPI
Mary Kathleen Ashlock, RPH
- Pharmacist
- Mableton, GA
National Provider Identifier
1316260490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16718
- Practice address
- 5590 Mableton Pkwy SW Ste 100
Mableton, GA 30126-3342 - Phone
- (770) 745-5635
- Fax
- (770) 745-7121
- NPI assigned
- Mar 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16718 | GA | Primary |
Addresses
Primary practice location
5590 Mableton Pkwy SW Ste 100
Mableton, GA 30126-3342
Mailing address
246 Ormond St SE
Atlanta, GA 30315-1357
Phone (404) 287-2518
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16718 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267574400000",
"number": "1316260490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 ORMOND ST SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303151357",
"telephone_number": "404-287-2518",
"fax_number": "770-745-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 MABLETON PKWY SW STE 100",
"city": "MABLETON",
"state": "GA",
"postal_code": "301263342",
"telephone_number": "770-745-5635",
"fax_number": "770-745-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHLOCK",
"first_name": "MARY",
"middle_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-03",
"last_updated": "2010-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "16718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mableton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.