Active NPI
Evelyn Obawoye Ambush, PHARMD
- Pharmacist
- Peachtree Corners, GA
National Provider Identifier
1487164448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029494
- Practice address
- 5270 Peachtree Pkwy Ste 114a
Peachtree Corners, GA 30092-2508 - Phone
- (678) 691-9089
- NPI assigned
- Oct 4, 2017
- Last updated
- Feb 16, 2023
- 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 | 029494 | GA | Primary |
Addresses
Primary practice location
5270 Peachtree Pkwy Ste 114a
Peachtree Corners, GA 30092-2508
Mailing address
PO Box 930355
Norcross, GA 30003-0355
Phone (678) 428-2897
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 |
|---|---|---|---|
| 029494 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1487164448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 930355",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300030355",
"telephone_number": "678-428-2897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 PEACHTREE PKWY STE 114A",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922508",
"telephone_number": "678-691-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBAWOYE AMBUSH",
"first_name": "EVELYN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-04",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "029494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
- David Le Nguyen, DDS
- Edward Nguyen
- Norcross Wellness Center LLC
- North Atlanta Vision LLC
- Oasis Counseling LLC
- Occupational Health Centers of Georgia, P.C. (Concentra Medical Center)
- Octave Behavioral Michigan, PC
- Olan Healthcare Clinic
- Ophthalmology and Retina Associates of Georgia LLC
- Optimum Hair Growth Center, LLC (Optimum Medical Wellness)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.