Individual provider Active NPI

David Robeson

  • Pharmacist
  • Gainesville, GA
National Provider Identifier
1356943534
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH023894 Issued in GA
Practice address
400 Shallowford Rd NW
Gainesville, GA 30504-4152
Phone
(770) 531-0325
Fax
(770) 531-0338
NPI assigned
Nov 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH023894 GA Primary

Addresses

Primary practice location

400 Shallowford Rd NW
Gainesville, GA 30504-4152

Mailing address

400 Shallowford Rd NW
Gainesville, GA 30504-4152
Phone (770) 531-0325

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

State licenses

LicenseStateTypeSpecialty
RPH023894GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1356943534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SHALLOWFORD RD NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305044152",
            "telephone_number": "770-531-0325",
            "fax_number": "770-531-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SHALLOWFORD RD NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305044152",
            "telephone_number": "770-531-0325",
            "fax_number": "770-531-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBESON",
        "first_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH023894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.