Active NPI
Amy Cooper Outlaw, PHARMD
- Psychiatric Pharmacist
- Norcross, GA
National Provider Identifier
1447917604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- GA016616
- Practice address
- 1 Technology Pkwy S
Norcross, GA 30092-2928 - Phone
- (762) 289-0300
- Fax
- (855) 748-0572
- NPI assigned
- Nov 23, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | GA016616 | GA | Primary |
Addresses
Primary practice location
1 Technology Pkwy S
Norcross, GA 30092-2928
Mailing address
1 Technology Pkwy S
Norcross, GA 30092-2928
Phone (762) 289-0300
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
| License | State | Type | Specialty |
|---|---|---|---|
| GA016616 | GA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1447917604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 TECHNOLOGY PKWY S",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922928",
"telephone_number": "762-289-0300",
"fax_number": "855-748-0572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TECHNOLOGY PKWY S",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300922928",
"telephone_number": "762-289-0300",
"fax_number": "855-748-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTLAW",
"first_name": "AMY",
"middle_name": "COOPER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-23",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "GA",
"license": "GA016616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.