Individual provider Active NPI

Mohan Petchimuthu, RPH

  • Pharmacist
  • Alpharetta, GA
National Provider Identifier
1467751743
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
034197 Issued in GA
Practice address
3155 Royal Dr Ste 175
Alpharetta, GA 30022-2479
Phone
(502) 963-2178
NPI assigned
Mar 25, 2011
Last updated
May 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 22608 TN
Pharmacist 183500000X 034197 GA Primary

Addresses

Primary practice location

3155 Royal Dr Ste 175
Alpharetta, GA 30022-2479

Mailing address

4865 Cheltenham PL
Cumming, GA 30041-5819
Phone (502) 963-2178

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

LicenseStateTypeSpecialty
034197GAMDPharmacist
22608TNMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1301011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1467751743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4865 CHELTENHAM PL",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415819",
            "telephone_number": "502-963-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 ROYAL DR STE 175",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222479",
            "telephone_number": "502-963-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETCHIMUTHU",
        "first_name": "MOHAN",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-25",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "22608",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "034197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; 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.