Active NPI
Narayana M Kandepu, RPH
- Pharmacist
- Atlanta, GA
National Provider Identifier
1417247156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022009
- Practice address
- 2886 Memorial Dr SE
Atlanta, GA 30317-3317 - Phone
- (404) 370-0585
- Fax
- (404) 370-0585
- NPI assigned
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022009 | GA | Primary |
Addresses
Primary practice location
2886 Memorial Dr SE
Atlanta, GA 30317-3317
Mailing address
11067 Peachcove CT
Suwanee, GA 30024-6103
Phone (404) 370-0585
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH022009 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dawson Family Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Dawsonville, GA
- NPI 1881288561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1417247156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11067 PEACHCOVE CT",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246103",
"telephone_number": "404-370-0585",
"fax_number": "404-370-0585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2886 MEMORIAL DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303173317",
"telephone_number": "404-370-0585",
"fax_number": "404-370-0585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDEPU",
"first_name": "NARAYANA",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022009",
"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 Apr 14, 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.