Individual provider Active NPI

Tochukwu Yaba, PHARMD

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1376823765
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH025336 Issued in GA
Practice address
4780 Ashford Dunwoody Rd
Ste. A273
Atlanta, GA 30338-5564
Phone
(202) 580-9693
NPI assigned
Aug 17, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH025336 GA Primary

Addresses

Primary practice location

4780 Ashford Dunwoody Rd
Ste. A273
Atlanta, GA 30338-5564

Mailing address

4780 Ashford Dunwoody Rd
Ste. A273
Atlanta, GA 30338-5564

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH025336GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1376823765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD",
            "address_2": "STE. A273",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD",
            "address_2": "STE. A273",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385564",
            "telephone_number": "202-580-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABA",
        "first_name": "TOCHUKWU",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH025336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; 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.