Active NPI
Damilola Siaka-Steven
- Pharmacist
- Atlanta, GA
National Provider Identifier
1477139814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH028720
- Practice address
- 3030 Headland Dr SW
Atlanta, GA 30311-5439 - Phone
- (404) 346-1423
- NPI assigned
- Mar 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH028720 | GA | Primary |
Addresses
Primary practice location
3030 Headland Dr SW
Atlanta, GA 30311-5439
Mailing address
2712 Bluestone Dr SW
Atlanta, GA 30331-9531
Phone (443) 857-0429
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH028720 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime RX Consultant Services Inc | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1477139814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2712 BLUESTONE DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319531",
"telephone_number": "443-857-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 HEADLAND DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303115439",
"telephone_number": "404-346-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIAKA-STEVEN",
"first_name": "DAMILOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-23",
"last_updated": "2021-03-23",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH028720",
"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 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.