Anna Leckie Moraitakis, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

019264 Issued in GA

Practice address

3105 Cobb Pkwy NW
Kennesaw, GA 30152-1013

Phone

(770) 974-5119

Fax

(770) 974-6029

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1346841657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11740 HIGHLAND COLONY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752148",
            "telephone_number": "404-403-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 COBB PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301521013",
            "telephone_number": "770-974-5119",
            "fax_number": "770-974-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAITAKIS",
        "first_name": "ANNA",
        "middle_name": "LECKIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Moore, PT
• Katherine E Moore, LCSW
• Katie Bozeman Moore, PHARMD
• Monica Yvette Moore, M.D
• Stephanie Moore, L.M.P.
• Elyse M. Morceau, D.D.S.
• Ernest C Moreland, MD
• Erin E Moreno, OT
• Christine Faith Morgan, PA
• Deirdre Morgan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.