Individual provider Active NPI

Keena A Changela, PHARMD, RPH

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1427767771
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH033651 Issued in GA
Practice address
5671 Peachtree Dunwoody Rd Ste 225
Atlanta, GA 30342-5067
Phone
(470) 750-0700
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH033651 GA Primary

Addresses

Primary practice location

5671 Peachtree Dunwoody Rd Ste 225
Atlanta, GA 30342-5067

Mailing address

3920 Boles Creek Dr
Duluth, GA 30096-5443
Phone (678) 488-3158

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH033651GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Specialty Pharmacy, LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

5671 Peachtree Dunwoody Rd
Ste 225
Sandy Springs, GA 30342
Phone (470) 750-0700

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.

NPI Registry JSON

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1427767771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BOLES CREEK DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965443",
            "telephone_number": "678-488-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5671 PEACHTREE DUNWOODY RD STE 225",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303425067",
            "telephone_number": "470-750-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANGELA",
        "first_name": "KEENA",
        "middle_name": "A",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH033651",
            "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 Nov 15, 2022; 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.