Tulika Bhushan Bahukhandi
Individual provider Active NPI Pharmacist · Suwanee, GA
NPI 1336748557 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1336748557
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 026736 (GA)
- Practice address
- 3651 Peachtree Pkwy
Suwanee, GA 30024-6034 - Phone
- (770) 418-2388
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026736 | GA | MD | Pharmacist |
| RPH026736 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past |
Accepting new patients | |
| Kroger Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH026736 | GA | |
| Pharmacist | 183500000X | 026736 | GA | Yes |
Addresses
Primary practice location
3651 Peachtree Pkwy
Suwanee, GA 30024-6034
Mailing address
525 W Magnolia Cir
Alpharetta, GA 30005-8951
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.