Shakira Danielle Abram, PHARMD

Key facts

NPI

1336864016

Entity type

Individual (NPI type 1)

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X

License

RPH033999 (GA)

Practice address

2451 Cumberland Pkwy SE
Atlanta, GA 30339-6136

Phone

(770) 437-7007

Fax

(770) 437-0766

NPI assigned

Oct 5, 2022

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Pharmacy

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2022.

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1336864016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "770-437-7007",
            "fax_number": "770-437-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "770-437-7007",
            "fax_number": "770-437-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAM",
        "first_name": "SHAKIRA",
        "middle_name": "DANIELLE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH033999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOP",
            "identifier": "RPH033999",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

• Justin Abraham, OD
• Rennie Juanillo Abraham, FNP, NP-C
• Yohannes Medhanie Abraham
• Howard Abrahams, DDS
• Jasmine Ayanna Rachelle Abram, MD
• Shelly Abramowicz, DMD, MPH
• Alex Courtney Abrams
• Bianca Tiara Abrams, LPC
• Kelly Lorraine Abrams, M.ED., BCBA
• Norman Abrams, MD

All providers in Atlanta, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia