Individual provider Active NPI

Violet Oluyinka Jonah

  • Pharmacist
  • Stone Mountain, GA
National Provider Identifier
1386941722
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH021545 Issued in GA
Practice address
6402 Greenock Dr
Stone Mountain, GA 30087-6088
Phone
(770) 469-8353
Fax
(770) 469-8353
NPI assigned
Feb 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH021545 GA Primary

Addresses

Primary practice location

6402 Greenock Dr
Stone Mountain, GA 30087-6088

Mailing address

4110 Memorial Dr
Decatur, GA 30032-1803
Phone (404) 294-6504

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
RPH021545GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1386941722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MEMORIAL DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321803",
            "telephone_number": "404-294-6504",
            "fax_number": "404-299-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 GREENOCK DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876088",
            "telephone_number": "770-469-8353",
            "fax_number": "770-469-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAH",
        "first_name": "VIOLET",
        "middle_name": "OLUYINKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-22",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.