Individual provider Active NPI

Everette K Egun, PHARM.D.

  • Pharmacotherapy Pharmacist
  • Atlanta, GA
National Provider Identifier
1467751107
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
RPH024643 Issued in GA
Practice address
3334 Peachtree Rd NE
Unti#1006
Atlanta, GA 30326-6801
Phone
(404) 861-6663
NPI assigned
Mar 21, 2011
Last updated
Mar 21, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X RPH024643 GA Primary

Addresses

Primary practice location

3334 Peachtree Rd NE
Unti#1006
Atlanta, GA 30326-6801

Mailing address

3334 Peachtree Rd NE
Unti#1006
Atlanta, GA 30326-6801
Phone (404) 861-6663

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
RPH024643GAMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1467751107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 PEACHTREE RD NE",
            "address_2": "UNTI#1006",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303266801",
            "telephone_number": "404-861-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 PEACHTREE RD NE",
            "address_2": "UNTI#1006",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303266801",
            "telephone_number": "404-861-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGUN",
        "first_name": "EVERETTE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "GA",
            "license": "RPH024643",
            "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 Mar 21, 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.